| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $141.25 | $239.88 | |
Aetna
| Professional | $87.10 | $102.33 | $263.03 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $83.18 | $134.90 | $190.55 | |
United
| Professional | $93.33 | $147.91 | $245.47 |