| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.30 | $245.30 | $245.30 | |
Aetna
| Professional | $142.91 | $142.91 | $177.04 | |
Cigna
| Facility | $138.65 | $138.65 | $138.65 | |
Cigna
| Professional | $208.11 | $208.11 | $208.11 | |
United
| Professional | $72.81 | $95.99 | $469.26 |