| 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 | $163.38 | $180.98 | $479.16 | |
United
| Professional | $108.86 | $197.71 | $532.17 |