| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $199.53 | |
Aetna
| Professional | $117.49 | $144.54 | $524.81 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $81.28 | $95.50 | $251.19 | |
United
| Professional | $74.13 | $104.71 | $380.19 |