| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.11 | $177.11 | $177.11 | |
Aetna
| Professional | $177.11 | $191.79 | $191.79 | |
Cigna
| Facility | $211.02 | $404.21 | $496.55 | |
Cigna
| Professional | $116.52 | $224.19 | $801.37 | |
United
| Professional | $91.14 | $152.40 | $270.07 |