| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.12 | $311.12 | $429.64 | |
Aetna
| Professional | $148.15 | $311.12 | $311.12 | |
Cigna
| Facility | $160.50 | $186.18 | $442.98 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
United
| Professional | $103.71 | $148.15 | $246.92 |