| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.40 | $371.40 | $371.40 | |
Aetna
| Professional | $255.14 | $268.06 | $268.06 | |
Cigna
| Facility | $209.92 | $209.92 | $209.92 | |
Cigna
| Professional | $370.87 | $370.87 | $463.59 | |
United
| Professional | $125.60 | $150.72 | $358.85 |