| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.43 | $237.43 | $237.43 | |
Aetna
| Professional | $237.43 | $250.92 | $250.92 | |
Cigna
| Facility | $282.60 | $404.21 | $496.55 | |
Cigna
| Professional | $212.65 | $300.19 | $1,159.98 | |
United
| Professional | $159.02 | $242.23 | $492.98 |