| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.39 | $116.76 | $116.76 | |
Aetna
| Professional | $116.76 | $116.76 | $116.76 | |
Cigna
| Facility | $140.68 | $140.68 | $140.68 | |
Cigna
| Professional | $119.58 | $119.58 | $119.58 | |
United
| Professional | $111.38 | $117.24 | $117.24 |