| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.50 | $144.50 | $144.50 | |
Aetna
| Professional | $144.50 | $155.13 | $221.71 | |
Cigna
| Facility | $293.41 | $293.41 | $293.41 | |
Cigna
| Professional | $216.38 | $216.38 | $1,227.03 | |
United
| Facility | $420.04 | $420.04 | $420.04 | |
United
| Professional | $246.93 | $254.57 | $271.52 |