| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.63 | $163.63 | $163.63 | |
Aetna
| Professional | $163.63 | $175.60 | $175.60 | |
Cigna
| Facility | $213.11 | $213.11 | $213.11 | |
Cigna
| Professional | $164.86 | $164.86 | $863.74 | |
United
| Professional | $160.74 | $236.91 | $325.73 |