| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $186.21 | $229.09 | $831.76 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $67.61 | $125.89 | $616.60 |