| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.20 | $538.20 | $538.20 | |
Aetna
| Professional | $313.56 | $313.56 | $388.44 | |
Cigna
| Facility | $608.40 | $608.40 | $608.40 | |
Cigna
| Professional | $230.70 | $255.54 | $676.55 | |
United
| Professional | $196.56 | $280.80 | $1,029.59 |