| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.08 | $259.08 | $429.64 | |
Aetna
| Professional | $123.38 | $259.08 | $259.08 | |
Cigna
| Facility | $125.91 | $253.08 | $385.80 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
United
| Facility | $185.07 | $185.07 | $185.07 | |
United
| Professional | $81.36 | $116.23 | $194.86 |