| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $79.43 | $79.43 | |
Aetna
| Professional | $63.10 | $66.07 | $79.43 | |
Cigna
| Facility | $67.61 | $67.61 | $85.11 | |
Cigna
| Professional | $67.61 | $363.08 | $363.08 | |
United
| Professional | $66.07 | $316.23 | $380.19 |