| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.19 | $411.19 | $411.19 | |
Aetna
| Professional | $282.47 | $296.77 | $296.77 | |
Cigna
| Facility | $232.41 | $232.41 | $232.41 | |
Cigna
| Professional | $256.63 | $410.94 | $668.51 | |
United
| Professional | $150.18 | $214.54 | $491.49 |