| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.43 | $86.43 | $86.43 | |
Aetna
| Professional | $117.82 | $133.32 | $277.54 | |
Cigna
| Facility | $149.41 | $149.41 | $149.41 | |
Cigna
| Professional | $115.76 | $115.76 | $141.97 | |
United
| Professional | $101.51 | $147.60 | $214.60 |