| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.79 | $144.79 | $144.79 | |
Aetna
| Professional | $144.79 | $154.31 | $154.31 | |
Cigna
| Facility | $172.98 | $404.21 | $496.55 | |
Cigna
| Professional | $131.82 | $183.28 | $715.63 | |
United
| Professional | $102.78 | $154.09 | $289.45 |