| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.27 | $151.27 | $151.27 | |
Aetna
| Professional | $144.16 | $151.27 | $151.27 | |
Cigna
| Facility | $151.27 | $151.27 | $151.27 | |
Cigna
| Professional | $151.27 | $151.27 | $151.27 | |
United
| Professional | $145.61 | $161.79 | $161.79 |