| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $478.63 | $512.86 | |
Aetna
| Professional | $30.20 | $47.86 | $537.03 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $239.88 | $389.05 | $794.33 | |
United
| Professional | $316.23 | $316.23 | $316.23 |