| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.88 | $102.88 | $102.88 | |
Aetna
| Professional | $94.55 | $102.88 | $131.18 | |
Cigna
| Facility | $139.07 | $139.07 | $139.07 | |
Cigna
| Professional | $107.43 | $107.43 | $562.83 | |
United
| Professional | $101.73 | $152.28 | $213.39 |