| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.85 | $101.25 | $101.25 | |
Aetna
| Professional | $101.25 | $101.25 | $101.25 | |
Cigna
| Facility | $98.80 | $121.04 | $201.76 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $82.92 | $87.28 | $87.28 |