| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.86 | $182.86 | $182.86 | |
Aetna
| Professional | $182.86 | $198.34 | $198.34 | |
Cigna
| Facility | $235.24 | $404.21 | $496.55 | |
Cigna
| Professional | $134.85 | $249.60 | $977.54 | |
United
| Professional | $108.87 | $176.39 | $368.41 |