| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.48 | $43.65 | $61.66 | |
Aetna
| Professional | $46.77 | $57.54 | $69.18 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $56.23 | $56.23 | $295.12 | |
United
| Professional | $47.86 | $69.18 | $104.71 |