| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $141.25 | $147.91 | $151.36 | |
Cigna
| Facility | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Facility | $75.86 | $89.13 | $177.83 | |
United
| Professional | $120.23 | $154.88 | $169.82 |