| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $446.68 | |
Aetna
| Professional | $169.82 | $204.17 | $275.42 | |
Cigna
| Facility | $309.03 | $309.03 | $776.25 | |
Cigna
| Professional | $933.25 | $933.25 | $933.25 | |
United
| Facility | $977.24 | $977.24 | $977.24 | |
United
| Professional | $208.93 | $380.19 | $724.44 |