| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $295.12 | $549.54 | |
Aetna
| Professional | $173.78 | $213.80 | $776.25 | |
Cigna
| Facility | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $169.82 | $186.21 | $537.03 | |
United
| Professional | $107.15 | $154.88 | $562.34 |