| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.92 | $339.92 | $339.92 | |
Aetna
| Professional | $172.64 | $339.92 | $339.92 | |
Cigna
| Facility | $252.68 | $252.68 | $539.16 | |
Cigna
| Professional | $194.10 | $252.68 | $496.67 | |
United
| Professional | $134.49 | $201.73 | $310.86 |