| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.06 | $336.06 | $336.06 | |
Aetna
| Professional | $336.06 | $336.06 | $336.06 | |
Cigna
| Professional | $593.25 | $599.17 | $753.43 | |
Medica
| Professional | $250.54 | $250.54 | $396.79 | |
United
| Professional | $250.54 | $250.54 | $396.79 |