| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.58 | $67.58 | $97.77 | |
Aetna
| Professional | $67.58 | $99.48 | $117.28 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
United
| Professional | $81.51 | $116.55 | $190.15 |