| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.00 | $271.92 | $271.92 | |
Aetna
| Professional | $169.35 | $179.43 | $202.48 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $116.95 | $183.89 | $270.55 | |
United
| Professional | $100.06 | $217.09 | $502.74 |