| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.00 | $146.00 | $146.00 | |
Aetna
| Professional | $192.36 | $231.73 | $240.63 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $60.87 | $91.54 | $145.72 | |
United
| Professional | $85.00 | $264.89 | $594.29 |