| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.39 | $388.39 | $388.39 | |
Aetna
| Professional | $226.28 | $226.28 | $280.32 | |
Cigna
| Facility | $219.52 | $219.52 | $219.52 | |
Cigna
| Professional | $177.68 | $177.68 | $177.68 | |
United
| Professional | $54.40 | $129.53 | $743.01 |