| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.11 | $130.11 | $130.11 | |
Aetna
| Professional | $130.11 | $173.78 | $176.28 | |
Cigna
| Facility | $193.12 | $193.12 | $193.12 | |
Cigna
| Professional | $149.69 | $149.69 | $784.21 | |
United
| Professional | $81.92 | $151.46 | $307.29 |