| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.81 | $98.72 | $98.72 | |
Aetna
| Professional | $67.81 | $99.21 | $119.88 | |
Cigna
| Facility | $118.00 | $118.00 | $118.00 | |
Cigna
| Professional | $92.55 | $92.55 | $484.89 | |
United
| Professional | $84.36 | $134.31 | $179.00 |