| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.03 | $102.03 | $102.03 | |
Aetna
| Professional | $98.11 | $98.11 | $102.03 | |
Cigna
| Facility | $92.55 | $98.11 | $98.11 | |
Cigna
| Professional | $98.11 | $98.11 | $98.11 | |
United
| Professional | $98.11 | $98.11 | $98.11 |