| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.84 | $225.21 | $882.00 | |
Aetna
| Professional | $138.68 | $163.50 | $168.30 | |
Cigna
| Facility | $4,783.89 | $4,783.89 | $4,783.89 | |
Cigna
| Professional | $136.75 | $284.10 | $611.41 | |
United
| Professional | $147.72 | $285.70 | $625.45 |