| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.48 | $80.48 | $80.48 | |
Aetna
| Professional | $87.98 | $95.89 | $96.77 | |
Cigna
| Facility | $83.00 | $83.00 | $83.00 | |
Cigna
| Professional | $87.98 | $124.50 | $124.50 | |
United
| Professional | $87.98 | $87.98 | $87.98 |