| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.59 | $69.59 | $112.60 | |
Aetna
| Professional | $69.59 | $69.59 | $69.59 | |
Cigna
| Facility | $48.00 | $62.32 | $122.39 | |
Cigna
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $60.00 | $60.00 | $60.00 |