| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.34 | $142.44 | $294.00 | |
Aetna
| Professional | $90.81 | $96.22 | $107.73 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $86.90 | $142.93 | $170.72 | |
United
| Professional | $98.38 | $182.77 | $257.88 |