| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $128.82 | $158.49 | $575.44 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $38.90 | $45.71 | $128.82 | |
United
| Professional | $35.48 | $81.28 | $426.58 |