| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.80 | $133.80 | $133.80 | |
Aetna
| Professional | $63.34 | $133.80 | $133.80 | |
Cigna
| Facility | $83.71 | $83.71 | $147.56 | |
Cigna
| Professional | $61.11 | $83.71 | $129.21 | |
United
| Facility | $46.54 | $65.33 | $78.41 | |
United
| Professional | $43.95 | $67.22 | $103.42 |