| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.55 | $157.55 | $157.55 | |
Aetna
| Professional | $91.79 | $91.79 | $113.71 | |
Cigna
| Facility | $89.05 | $89.05 | $89.05 | |
Cigna
| Professional | $67.48 | $74.75 | $197.91 | |
United
| Professional | $57.54 | $137.00 | $301.39 |