| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.03 | $234.03 | $234.03 | |
Aetna
| Professional | $136.35 | $136.35 | $168.91 | |
Cigna
| Facility | $132.28 | $132.28 | $132.28 | |
Cigna
| Professional | $303.82 | $303.82 | $303.82 | |
United
| Professional | $91.58 | $133.00 | $447.70 |