| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.21 | $135.21 | $135.21 | |
Aetna
| Professional | $35.60 | $121.54 | $159.27 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $128.26 | $128.26 | $671.96 | |
United
| Professional | $105.06 | $159.55 | $229.78 |