| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $190.55 | $190.55 | |
Aetna
| Professional | $151.36 | $158.49 | $190.55 | |
Cigna
| Facility | $162.18 | $162.18 | $309.03 | |
Cigna
| Professional | $162.18 | $870.96 | $870.96 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $154.88 | $158.49 | $190.55 |