| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.94 | $217.94 | $217.94 | |
Aetna
| Professional | $149.71 | $157.29 | $157.29 | |
Cigna
| Facility | $123.18 | $123.18 | $123.18 | |
Cigna
| Professional | $37.47 | $217.65 | $272.06 | |
United
| Professional | $20.64 | $35.06 | $113.71 |