| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.54 | $213.54 | $403.59 | |
Aetna
| Professional | $133.05 | $157.04 | $162.51 | |
Cigna
| Facility | $2,815.72 | $2,815.72 | $2,815.72 | |
Cigna
| Professional | $124.91 | $252.33 | $572.11 | |
United
| Professional | $151.91 | $250.32 | $616.48 |