| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.28 | $147.07 | $147.07 | |
Aetna
| Professional | $99.17 | $118.44 | $122.50 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $84.59 | $106.51 | $214.84 | |
United
| Professional | $81.70 | $110.42 | $251.41 |