| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.83 | $171.19 | $393.00 | |
Aetna
| Professional | $111.56 | $118.20 | $129.04 | |
Cigna
| Facility | $409.81 | $409.81 | $409.81 | |
Cigna
| Professional | $103.13 | $167.75 | $240.32 | |
United
| Professional | $110.47 | $189.15 | $305.33 |