| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.12 | $88.65 | $218.75 | |
Aetna
| Professional | $85.12 | $85.12 | $103.15 | |
Cigna
| Facility | $88.07 | $88.07 | $88.07 | |
Cigna
| Professional | $85.12 | $85.12 | $85.12 | |
United
| Professional | $82.46 | $90.23 | $127.68 |