| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.54 | $146.54 | $146.54 | |
Aetna
| Professional | $85.38 | $85.38 | $105.77 | |
Cigna
| Facility | $82.83 | $82.83 | $82.83 | |
Cigna
| Professional | $208.11 | $208.11 | $208.11 | |
United
| Professional | $57.34 | $91.16 | $280.35 |