| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.69 | $385.69 | $385.69 | |
Aetna
| Professional | $224.70 | $224.70 | $278.37 | |
Cigna
| Facility | $218.00 | $218.00 | $218.00 | |
Cigna
| Professional | $626.79 | $626.79 | $626.79 | |
United
| Professional | $150.91 | $457.54 | $737.84 |