| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.00 | $392.77 | $392.77 | |
Aetna
| Professional | $261.62 | $277.20 | $313.51 | |
Cigna
| Facility | $814.75 | $814.75 | $814.75 | |
Cigna
| Professional | $163.80 | $258.39 | $423.33 | |
United
| Professional | $117.24 | $302.27 | $769.21 |