| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.84 | $138.34 | $345.00 | |
Aetna
| Professional | $97.88 | $115.43 | $118.86 | |
Cigna
| Facility | $1,175.26 | $1,175.26 | $1,175.26 | |
Cigna
| Professional | $84.74 | $146.68 | $242.55 | |
United
| Professional | $94.57 | $156.86 | $255.89 |