| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.00 | $168.00 | $168.00 | |
Aetna
| Professional | $67.50 | $102.30 | $181.45 | |
Cigna
| Facility | $93.21 | $93.21 | $93.21 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
United
| Professional | $65.80 | $99.00 | $139.50 |