| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $346.74 | |
Aetna
| Professional | $199.53 | $251.19 | $912.01 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Professional | $125.89 | $181.97 | $660.69 |