| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.27 | $125.27 | $125.27 | |
Aetna
| Professional | $120.51 | $120.51 | $125.27 | |
Cigna
| Facility | $146.47 | $146.47 | $299.52 | |
Cigna
| Professional | $142.72 | $187.43 | $872.22 | |
United
| Professional | $103.47 | $191.36 | $400.83 |