| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.06 | $176.06 | $176.06 | |
Aetna
| Professional | $176.06 | $188.71 | $188.71 | |
Cigna
| Facility | $215.49 | $404.21 | $496.55 | |
Cigna
| Professional | $197.36 | $231.38 | $890.25 | |
United
| Professional | $143.07 | $185.94 | $328.28 |