| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.86 | $194.42 | $250.43 | |
Aetna
| Professional | $132.86 | $194.42 | $218.73 | |
Cigna
| Facility | $137.72 | $137.72 | $137.72 | |
Cigna
| Professional | $137.72 | $137.72 | $137.72 | |
United
| Professional | $147.76 | $153.91 | $200.10 |