| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.65 | $380.65 | $380.65 | |
Aetna
| Professional | $221.77 | $221.77 | $274.73 | |
Cigna
| Facility | $215.15 | $215.15 | $215.15 | |
Cigna
| Professional | $252.78 | $252.78 | $252.78 | |
United
| Professional | $77.54 | $184.61 | $728.20 |