| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.54 | $199.03 | $199.03 | |
Aetna
| Professional | $134.11 | $142.10 | $160.47 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $110.20 | $172.78 | $261.35 | |
United
| Professional | $100.69 | $154.09 | $391.17 |