| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.39 | $320.39 | $320.39 | |
Aetna
| Professional | $298.52 | $320.39 | $444.24 | |
Cigna
| Facility | $247.20 | $247.20 | $247.20 | |
Cigna
| Professional | $205.76 | $205.76 | $205.76 | |
United
| Professional | $222.20 | $222.20 | $222.20 |