| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.00 | $85.00 | $85.00 | |
Aetna
| Professional | $80.00 | $83.00 | $85.00 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $85.00 | $85.00 | $85.00 | |
United
| Professional | $144.83 | $160.91 | $164.14 |