| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.61 | $194.61 | $194.61 | |
Aetna
| Professional | $194.61 | $194.61 | $211.21 | |
Cigna
| Facility | $306.00 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
United
| Professional | $300.00 | $300.00 | $300.00 |