| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.95 | $283.95 | $283.95 | |
Aetna
| Professional | $153.03 | $153.03 | $153.03 | |
Cigna
| Facility | $125.91 | $125.91 | $125.91 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
United
| Professional | $71.97 | $98.70 | $205.63 |