| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.41 | $87.41 | $87.41 | |
Aetna
| Professional | $80.67 | $89.10 | $108.98 | |
Cigna
| Facility | $118.00 | $118.00 | $118.00 | |
Cigna
| Professional | $92.55 | $92.55 | $484.89 | |
United
| Professional | $84.36 | $137.09 | $191.59 |