| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.24 | $222.24 | $222.24 | |
Aetna
| Professional | $129.47 | $129.47 | $160.40 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $270.45 | $270.45 | $270.45 | |
United
| Professional | $82.94 | $118.49 | $425.15 |