| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.40 | $189.42 | $261.57 | |
Aetna
| Professional | $90.20 | $145.82 | $189.42 | |
Cigna
| Facility | $97.71 | $113.34 | $269.68 | |
Cigna
| Professional | $63.42 | $137.04 | $233.82 | |
United
| Facility | $135.30 | $135.30 | $135.30 | |
United
| Professional | $63.14 | $90.20 | $150.33 |