| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.39 | $288.39 | $288.39 | |
Aetna
| Professional | $198.12 | $208.15 | $208.15 | |
Cigna
| Facility | $163.01 | $163.01 | $163.01 | |
Cigna
| Professional | $288.27 | $288.27 | $360.34 | |
United
| Professional | $74.31 | $105.33 | $334.37 |