| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.72 | $240.72 | $240.72 | |
Aetna
| Professional | $165.36 | $173.74 | $173.74 | |
Cigna
| Facility | $136.06 | $136.06 | $136.06 | |
Cigna
| Professional | $87.20 | $240.37 | $300.45 | |
United
| Professional | $65.42 | $88.50 | $184.38 |