| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.00 | $171.00 | $171.00 | |
Aetna
| Professional | $99.28 | $119.57 | $124.33 | |
Cigna
| Facility | $193.48 | $193.48 | $193.48 | |
Cigna
| Professional | $67.19 | $106.21 | $165.80 | |
United
| Professional | $92.61 | $153.60 | $370.89 |