| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.14 | $236.68 | $375.70 | |
Aetna
| Professional | $53.14 | $55.08 | $77.76 | |
Cigna
| Facility | $20.39 | $55.08 | $55.08 | |
Cigna
| Professional | $55.08 | $55.08 | $55.08 | |
United
| Professional | $51.84 | $54.00 | $69.12 |