| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.06 | $335.06 | $335.06 | |
Aetna
| Professional | $195.21 | $195.21 | $241.83 | |
Cigna
| Facility | $189.38 | $189.38 | $189.38 | |
Cigna
| Professional | $143.50 | $158.94 | $420.83 | |
United
| Professional | $122.37 | $174.82 | $640.99 |