| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.00 | $345.00 | $345.00 | |
Aetna
| Professional | $201.00 | $201.00 | $249.00 | |
Cigna
| Facility | $195.00 | $195.00 | $195.00 | |
Cigna
| Professional | $163.38 | $180.98 | $479.16 | |
United
| Professional | $135.00 | $197.71 | $660.00 |