| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.76 | $232.76 | $232.76 | |
Aetna
| Professional | $135.61 | $135.61 | $167.99 | |
Cigna
| Facility | $131.56 | $131.56 | $131.56 | |
Cigna
| Professional | $261.12 | $261.12 | $261.12 | |
United
| Professional | $80.09 | $121.44 | $445.28 |