| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.47 | $69.47 | $69.47 | |
Aetna
| Professional | $62.63 | $68.14 | $72.70 | |
Cigna
| Facility | $92.30 | $92.30 | $92.30 | |
Cigna
| Professional | $69.04 | $69.04 | $69.04 | |
United
| Professional | $58.14 | $90.08 | $130.46 |