| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.00 | $221.00 | $305.20 | |
Aetna
| Professional | $105.24 | $170.14 | $221.00 | |
Cigna
| Facility | $114.01 | $132.25 | $314.67 | |
Cigna
| Professional | $74.02 | $159.91 | $272.89 | |
United
| Professional | $73.67 | $105.24 | $179.25 |