| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.34 | $125.34 | $125.34 | |
Aetna
| Professional | $125.34 | $181.97 | $218.90 | |
Cigna
| Facility | $217.02 | $217.02 | $217.02 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
United
| Professional | $145.30 | $212.36 | $307.56 |