| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.83 | $257.83 | $257.83 | |
Aetna
| Professional | $130.96 | $257.83 | $257.83 | |
Cigna
| Facility | $170.29 | $170.29 | $305.07 | |
Cigna
| Professional | $144.75 | $170.29 | $291.95 | |
United
| Professional | $90.64 | $153.02 | $210.66 |