| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.18 | $63.18 | $63.18 | |
Aetna
| Professional | $57.59 | $63.18 | $80.41 | |
Cigna
| Facility | $84.65 | $84.65 | $84.65 | |
Cigna
| Professional | $65.77 | $65.77 | $344.58 | |
United
| Professional | $57.67 | $89.56 | $129.90 |