| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.33 | $84.33 | $84.33 | |
Aetna
| Professional | $80.29 | $96.46 | $111.01 | |
Cigna
| Facility | $105.88 | $105.88 | $105.88 | |
Cigna
| Professional | $78.08 | $78.08 | $78.08 | |
United
| Professional | $66.62 | $96.62 | $171.64 |