| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $331.13 | |
Aetna
| Professional | $147.91 | $234.42 | $851.14 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $61.66 | $169.82 | $407.38 | |
United
| Professional | $48.98 | $85.11 | $426.58 |