| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.79 | $477.68 | $630.04 | |
Aetna
| Professional | $92.77 | $95.79 | $137.00 | |
Cigna
| Facility | $97.51 | $110.13 | $126.61 | |
Cigna
| Professional | $82.57 | $82.57 | $82.57 | |
United
| Professional | $82.58 | $82.58 | $82.58 |