| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.77 | $250.77 | $250.77 | |
Aetna
| Professional | $146.10 | $243.50 | $243.50 | |
Cigna
| Facility | $141.74 | $141.74 | $141.74 | |
Cigna
| Professional | $153.09 | $169.57 | $448.95 | |
United
| Professional | $91.59 | $176.02 | $479.73 |