| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.70 | $273.70 | $273.70 | |
Aetna
| Professional | $159.46 | $159.46 | $197.54 | |
Cigna
| Facility | $154.69 | $154.69 | $154.69 | |
Cigna
| Professional | $221.36 | $221.36 | $221.36 | |
United
| Professional | $77.61 | $142.80 | $523.60 |