| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $77.62 | $77.62 | |
Aetna
| Professional | $41.69 | $43.65 | $52.48 | |
Cigna
| Facility | $45.71 | $85.11 | $85.11 | |
Cigna
| Professional | $45.71 | $45.71 | $239.88 | |
United
| Professional | $44.67 | $125.89 | $4,168.69 |