| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.85 | $253.85 | $253.85 | |
Aetna
| Professional | $147.90 | $147.90 | $183.21 | |
Cigna
| Facility | $143.47 | $143.47 | $143.47 | |
Cigna
| Professional | $412.79 | $412.79 | $412.79 | |
United
| Professional | $99.33 | $144.55 | $485.63 |