| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.93 | $159.93 | $159.93 | |
Aetna
| Professional | $39.36 | $40.84 | $41.83 | |
Cigna
| Facility | $25.72 | $25.72 | $25.72 | |
Cigna
| Professional | $25.72 | $25.72 | $25.72 | |
United
| Professional | $28.58 | $71.44 | $71.44 |