| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $208.93 | $891.25 | |
Aetna
| Professional | $128.82 | $147.91 | $371.54 | |
Cigna
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
Cigna
| Professional | $112.20 | $239.88 | $616.60 | |
United
| Professional | $131.83 | $245.47 | $630.96 |