| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.86 | $216.86 | $216.86 | |
Aetna
| Professional | $126.34 | $126.34 | $156.51 | |
Cigna
| Facility | $122.57 | $122.57 | $122.57 | |
Cigna
| Professional | $128.94 | $144.97 | $361.45 | |
United
| Professional | $113.14 | $179.14 | $414.85 |