| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.97 | $82.97 | $85.13 | |
Aetna
| Professional | $82.97 | $82.97 | $82.97 | |
Cigna
| Facility | $85.42 | $105.56 | $110.91 | |
Cigna
| Professional | $71.52 | $71.52 | $71.52 | |
United
| Professional | $71.52 | $71.52 | $71.52 |