| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.60 | $130.60 | $261.20 | |
Aetna
| Professional | $130.60 | $174.77 | $174.77 | |
Cigna
| Facility | $194.24 | $194.24 | $194.24 | |
Cigna
| Professional | $85.92 | $202.24 | $790.48 | |
United
| Professional | $81.92 | $155.49 | $360.50 |