| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $354.81 | $354.81 | |
Aetna
| Professional | $204.17 | $257.04 | $933.25 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $204.17 | $204.17 | $218.78 | |
United
| Professional | $67.61 | $128.82 | $676.08 |