| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $389.05 | |
Aetna
| Professional | $43.65 | $47.86 | $51.29 | |
Cigna
| Facility | $104.71 | $109.65 | $245.47 | |
Cigna
| Professional | $74.13 | $74.13 | $91.20 | |
United
| Facility | $77.62 | $77.62 | $77.62 | |
United
| Professional | $26.92 | $38.90 | $79.43 |