| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.01 | $348.01 | $348.01 | |
Aetna
| Professional | $202.76 | $202.76 | $251.17 | |
Cigna
| Facility | $196.70 | $196.70 | $196.70 | |
Cigna
| Professional | $30.01 | $33.64 | $83.85 | |
United
| Professional | $17.39 | $127.10 | $665.76 |