| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.00 | $126.00 | $126.00 | |
Aetna
| Professional | $299.79 | $475.46 | $493.35 | |
Cigna
| Facility | $831.32 | $831.32 | $831.32 | |
Cigna
| Professional | $51.16 | $78.95 | $125.01 | |
United
| Professional | $68.78 | $429.95 | $1,122.38 |