| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.33 | $297.33 | $297.33 | |
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
United
| Professional | $285.24 | $339.28 | $360.30 |