| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.03 | $75.03 | $79.22 | |
Aetna
| Professional | $75.03 | $75.03 | $92.33 | |
Cigna
| Facility | $80.90 | $80.90 | $80.90 | |
Cigna
| Professional | $75.02 | $75.02 | $75.02 | |
United
| Professional | $71.28 | $79.53 | $112.55 |