| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.45 | $190.45 | $190.45 | |
Aetna
| Professional | $130.83 | $137.46 | $137.46 | |
Cigna
| Facility | $107.65 | $107.65 | $107.65 | |
Cigna
| Professional | $99.10 | $190.39 | $271.43 | |
United
| Professional | $66.97 | $82.84 | $188.73 |