| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.50 | $316.50 | $316.50 | |
Aetna
| Professional | $160.74 | $316.50 | $316.50 | |
Cigna
| Facility | $228.90 | $228.90 | $366.32 | |
Cigna
| Professional | $194.57 | $228.90 | $358.37 | |
United
| Professional | $121.84 | $187.84 | $291.81 |