| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.58 | $193.58 | $193.58 | |
Aetna
| Professional | $193.58 | $210.10 | $210.10 | |
Cigna
| Facility | $237.12 | $404.21 | $496.55 | |
Cigna
| Professional | $152.13 | $252.00 | $977.54 | |
United
| Professional | $124.34 | $183.11 | $335.79 |