| 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 | $120.25 | $120.25 | $120.25 | |
United
| Professional | $36.79 | $126.00 | $660.00 |