| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.28 | $175.28 | $175.28 | |
Aetna
| Professional | $163.77 | $175.28 | $347.19 | |
Cigna
| Facility | $92.98 | $92.98 | $92.98 | |
Cigna
| Professional | $83.76 | $83.76 | $83.76 | |
United
| Professional | $127.26 | $127.26 | $127.26 |