| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.84 | $101.84 | $101.84 | |
Aetna
| Professional | $101.84 | $101.84 | $101.84 | |
Cigna
| Professional | $108.39 | $108.39 | $108.39 | |
United
| Professional | $116.57 | $122.70 | $122.70 |