| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.72 | $142.72 | $142.72 | |
Aetna
| Professional | $142.72 | $222.86 | $222.86 | |
Cigna
| Facility | $301.99 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $1,262.89 | |
United
| Professional | $300.00 | $300.00 | $434.49 |