| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.15 | $199.15 | $199.15 | |
Aetna
| Professional | $116.02 | $116.02 | $143.72 | |
Cigna
| Facility | $112.56 | $112.56 | $112.56 | |
Cigna
| Professional | $106.74 | $120.00 | $299.47 | |
United
| Professional | $95.24 | $164.51 | $380.97 |