| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.00 | $222.89 | $222.89 | |
Aetna
| Professional | $163.69 | $173.44 | $195.82 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $96.51 | $151.63 | $224.52 | |
United
| Professional | $87.92 | $175.18 | $445.77 |