| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.10 | $340.22 | $433.60 | |
Aetna
| Professional | $143.10 | $143.10 | $143.10 | |
Cigna
| Facility | $133.81 | $173.74 | $204.48 | |
Cigna
| Professional | $123.36 | $123.36 | $123.36 | |
United
| Professional | $117.19 | $123.36 | $123.36 |