| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.31 | $167.06 | $868.00 | |
Aetna
| Professional | $106.75 | $125.50 | $128.99 | |
Cigna
| Facility | $1,088.41 | $1,088.41 | $1,088.41 | |
Cigna
| Professional | $101.20 | $222.37 | $585.95 | |
United
| Professional | $117.59 | $195.20 | $544.54 |