| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $295.12 | $295.12 | |
Aetna
| Professional | $33.11 | $44.67 | $70.79 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $50.12 | $263.03 | $263.03 | |
United
| Professional | $32.36 | $56.23 | $95.50 |