| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $275.42 | $275.42 | |
Aetna
| Professional | $158.49 | $194.98 | $707.95 | |
Cigna
| Facility | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $158.49 | $158.49 | $223.87 | |
United
| Professional | $67.61 | $107.15 | $524.81 |