| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.00 | $271.97 | $271.97 | |
Aetna
| Professional | $178.77 | $189.41 | $213.51 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $122.24 | $192.04 | $274.36 | |
United
| Professional | $121.03 | $201.08 | $511.70 |