| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.45 | $167.45 | $198.92 | |
Aetna
| Professional | $198.92 | $257.49 | $257.49 | |
Cigna
| Facility | $266.33 | $266.33 | $266.33 | |
Cigna
| Professional | $191.36 | $191.36 | $1,116.31 | |
United
| Professional | $140.78 | $238.25 | $335.71 |