| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.56 | $147.56 | $147.56 | |
Aetna
| Professional | $124.29 | $147.56 | $183.71 | |
Cigna
| Facility | $182.89 | $182.89 | $182.89 | |
Cigna
| Professional | $141.06 | $141.06 | $739.00 | |
United
| Professional | $143.86 | $233.77 | $302.45 |