| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.16 | $137.16 | $137.16 | |
Aetna
| Professional | $131.90 | $131.90 | $137.16 | |
Cigna
| Facility | $124.43 | $131.90 | $131.90 | |
Cigna
| Professional | $131.90 | $131.90 | $131.90 | |
United
| Professional | $131.90 | $131.90 | $131.90 |