| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.77 | $153.69 | $165.59 | |
Aetna
| Professional | $104.88 | $158.11 | $575.67 | |
Cigna
| Facility | $183.96 | $183.96 | $183.96 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
United
| Professional | $193.55 | $215.05 | $227.03 |