| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.16 | $340.16 | $340.16 | |
Aetna
| Professional | $198.18 | $198.18 | $245.51 | |
Cigna
| Facility | $192.26 | $192.26 | $192.26 | |
Cigna
| Professional | $146.69 | $162.49 | $430.20 | |
United
| Professional | $124.23 | $177.47 | $650.74 |