| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $77.62 | $107.15 | $151.36 | |
Cigna
| Facility | $104.71 | $257.04 | $257.04 | |
Cigna
| Professional | $107.15 | $208.93 | $776.25 | |
United
| Professional | $100.00 | $138.04 | $194.98 |