| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $416.78 | |
Aetna
| Professional | $416.78 | $416.78 | $490.19 | |
Cigna
| Facility | $270.91 | $314.26 | $544.53 | |
Cigna
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Facility | $375.09 | $375.09 | $375.09 | |
United
| Professional | $175.07 | $250.07 | $416.83 |