| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.41 | $238.41 | $238.41 | |
Aetna
| Professional | $138.90 | $138.90 | $172.07 | |
Cigna
| Facility | $134.75 | $134.75 | $134.75 | |
Cigna
| Professional | $590.96 | $590.96 | $590.96 | |
United
| Professional | $93.29 | $258.83 | $456.08 |