| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.81 | $203.17 | $1,400.00 | |
Aetna
| Professional | $122.81 | $191.79 | $234.00 | |
Cigna
| Facility | $220.54 | $220.54 | $220.54 | |
Cigna
| Professional | $123.81 | $216.03 | $497.45 | |
United
| Professional | $162.22 | $241.04 | $376.02 |