| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $199.53 | |
Aetna
| Professional | $194.98 | $194.98 | $213.80 | |
Cigna
| Facility | $186.21 | $194.98 | $281.84 | |
Cigna
| Professional | $194.98 | $831.76 | $831.76 | |
United
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Professional | $190.55 | $194.98 | $223.87 |