| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $112.20 | |
Aetna
| Professional | $112.20 | $112.20 | $134.90 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Facility | $177.83 | $177.83 | $1,096.48 | |
United
| Professional | $120.23 | $234.42 | $812.83 |