| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.91 | $209.76 | $210.91 | |
Aetna
| Professional | $158.91 | $195.76 | $218.79 | |
Cigna
| Facility | $306.00 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
United
| Professional | $300.00 | $300.00 | $375.00 |