| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.78 | $327.78 | $327.78 | |
Aetna
| Professional | $225.17 | $236.57 | $236.57 | |
Cigna
| Facility | $185.27 | $185.27 | $185.27 | |
Cigna
| Professional | $62.16 | $327.51 | $409.39 | |
United
| Professional | $50.16 | $84.78 | $171.02 |