| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.67 | $170.67 | $170.67 | |
Aetna
| Professional | $117.24 | $123.18 | $123.18 | |
Cigna
| Facility | $96.47 | $96.47 | $96.47 | |
Cigna
| Professional | $91.46 | $170.57 | $250.32 | |
United
| Professional | $62.33 | $89.05 | $207.40 |