| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.09 | $214.09 | $214.09 | |
Aetna
| Professional | $213.25 | $214.09 | $214.09 | |
Cigna
| Facility | $215.33 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
United
| Professional | $300.00 | $300.00 | $324.64 |