| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.04 | $440.04 | $440.04 | |
Aetna
| Professional | $95.08 | $106.39 | $112.51 | |
Cigna
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $77.00 | $82.27 | $193.97 | |
United
| Professional | $67.55 | $107.05 | $274.26 |