| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.86 | $134.00 | $1,400.00 | |
Aetna
| Professional | $98.18 | $124.19 | $148.94 | |
Cigna
| Facility | $172.72 | $172.72 | $172.72 | |
Cigna
| Professional | $97.28 | $144.91 | $337.18 | |
United
| Professional | $112.54 | $166.54 | $230.95 |