| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Aetna
| Professional | $123.03 | $151.36 | $549.54 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $85.11 | $100.00 | $269.15 | |
United
| Professional | $77.62 | $112.20 | $407.38 |