| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $57.54 | $63.10 | $79.43 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $66.07 | $66.07 | $346.74 | |
United
| Professional | $61.66 | $89.13 | $131.83 |