| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.25 | $431.25 | $431.25 | |
Aetna
| Professional | $311.25 | $311.25 | $311.25 | |
Cigna
| Facility | $243.75 | $243.75 | $243.75 | |
United
| Professional | $157.50 | $225.00 | $825.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.25 | $431.25 | $431.25 | |
Aetna
| Professional | $311.25 | $311.25 | $311.25 | |
Cigna
| Facility | $243.75 | $243.75 | $243.75 | |
United
| Professional | $157.50 | $225.00 | $825.00 |