| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.00 | $435.00 | $435.00 | |
Aetna
| Professional | $868.95 | $1,380.29 | $1,431.62 | |
Cigna
| Facility | $2,815.72 | $2,815.72 | $2,815.72 | |
Cigna
| Professional | $185.72 | $284.05 | $442.91 | |
United
| Professional | $246.53 | $452.49 | $3,732.65 |