| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $77.62 | $95.50 | $125.89 | |
Cigna
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $77.62 | $77.62 | $446.68 | |
United
| Professional | $64.57 | $93.33 | $165.96 |