| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.35 | $491.35 | $491.35 | |
Aetna
| Professional | $354.63 | $354.63 | $354.63 | |
Cigna
| Facility | $277.72 | $277.72 | $277.72 | |
United
| Professional | $179.45 | $427.26 | $939.97 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.35 | $491.35 | $491.35 | |
Aetna
| Professional | $354.63 | $354.63 | $354.63 | |
Cigna
| Facility | $277.72 | $277.72 | $277.72 | |
United
| Professional | $179.45 | $427.26 | $939.97 |