| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.37 | $321.37 | $2,132.21 | |
Aetna
| Professional | $113.16 | $125.05 | $187.56 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $104.34 | $132.08 | $218.77 | |
United
| Professional | $94.66 | $122.64 | $216.28 |