| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.53 | $140.32 | $140.32 | |
Aetna
| Professional | $89.06 | $105.38 | $108.66 | |
Cigna
| Facility | $1,088.41 | $1,088.41 | $1,088.41 | |
Cigna
| Professional | $74.39 | $115.36 | $201.46 | |
United
| Professional | $84.29 | $141.09 | $269.92 |