| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.20 | $180.20 | $212.00 | |
Aetna
| Professional | $180.20 | $180.20 | $198.21 | |
Cigna
| Facility | $180.20 | $203.81 | $203.81 | |
Cigna
| Professional | $203.81 | $203.81 | $525.16 | |
United
| Professional | $181.97 | $218.36 | $232.35 |