| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.19 | $278.19 | $278.19 | |
Aetna
| Professional | $162.07 | $162.07 | $200.78 | |
Cigna
| Facility | $157.24 | $157.24 | $157.24 | |
Cigna
| Professional | $147.41 | $163.28 | $432.29 | |
United
| Professional | $101.60 | $179.18 | $532.17 |