| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.49 | $61.49 | $61.49 | |
Aetna
| Professional | $86.27 | $95.06 | $197.64 | |
Cigna
| Facility | $106.03 | $106.03 | $106.03 | |
Cigna
| Professional | $81.84 | $81.84 | $104.24 | |
United
| Professional | $75.97 | $108.86 | $166.42 |