| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.99 | $303.99 | $303.99 | |
Aetna
| Professional | $177.11 | $177.11 | $219.40 | |
Cigna
| Facility | $171.82 | $171.82 | $171.82 | |
Cigna
| Professional | $126.81 | $142.62 | $355.72 | |
United
| Professional | $99.96 | $246.93 | $581.54 |