| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.30 | $170.30 | $227.67 | |
Aetna
| Professional | $100.55 | $144.22 | $170.30 | |
Cigna
| Facility | $136.24 | $136.24 | $136.24 | |
Cigna
| Professional | $105.43 | $178.06 | $240.02 | |
United
| Professional | $123.59 | $149.87 | $251.49 |