| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.46 | $136.46 | $136.46 | |
Aetna
| Professional | $139.56 | $196.02 | $231.82 | |
Cigna
| Facility | $234.54 | $234.54 | $234.54 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
United
| Professional | $153.97 | $208.96 | $318.94 |