| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $645.65 | |
Aetna
| Professional | $446.68 | $549.54 | $645.65 | |
Cigna
| Professional | $741.31 | $741.31 | $912.01 | |
United
| Facility | $645.65 | $645.65 | $645.65 | |
United
| Professional | $269.15 | $269.15 | $645.65 |