| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.95 | $283.95 | $283.95 | |
Aetna
| Professional | $195.07 | $204.94 | $204.94 | |
Cigna
| Facility | $160.50 | $160.50 | $160.50 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
United
| Professional | $86.42 | $103.71 | $246.92 |