| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.58 | $311.58 | $311.58 | |
Aetna
| Professional | $147.49 | $311.58 | $311.58 | |
Cigna
| Facility | $192.25 | $192.25 | $343.60 | |
Cigna
| Professional | $140.34 | $192.25 | $300.87 | |
United
| Professional | $102.33 | $159.35 | $237.27 |