| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $363.08 | |
Aetna
| Professional | $138.04 | $190.55 | $295.12 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $891.25 | $891.25 | $891.25 | |
United
| Professional | $154.88 | $190.55 | $323.59 |