| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.00 | $506.00 | $506.00 | |
Aetna
| Professional | $294.80 | $294.80 | $365.20 | |
Cigna
| Facility | $286.00 | $286.00 | $286.00 | |
Cigna
| Professional | $241.98 | $241.98 | $241.98 | |
United
| Professional | $84.82 | $184.80 | $968.00 |