| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.78 | $398.78 | $398.78 | |
Aetna
| Professional | $98.16 | $98.16 | $104.30 | |
Cigna
| Facility | $108.39 | $108.39 | $108.39 | |
Cigna
| Professional | $108.39 | $108.39 | $108.39 | |
United
| Professional | $3.32 | $122.70 | $122.70 |