| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.68 | $182.68 | $182.68 | |
Aetna
| Professional | $92.78 | $182.68 | $182.68 | |
Cigna
| Facility | $171.65 | $171.65 | $216.16 | |
Cigna
| Professional | $145.90 | $171.65 | $189.27 | |
United
| Professional | $64.23 | $108.42 | $149.26 |