| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $251.19 | $263.03 | |
Aetna
| Professional | $107.15 | $112.20 | $407.38 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $97.72 | $154.88 | $251.19 | |
United
| Professional | $40.74 | $58.88 | $204.17 |