| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $281.84 | |
Aetna
| Professional | $194.98 | $204.17 | $245.47 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
United
| Professional | $87.10 | $147.91 | $371.54 |