| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $343.31 | |
Aetna
| Professional | $163.24 | $163.24 | $177.16 | |
Cigna
| Facility | $143.26 | $143.26 | $143.26 | |
Cigna
| Professional | $143.26 | $143.26 | $143.26 | |
United
| Professional | $2,170.19 | $2,170.19 | $2,577.11 |