| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.13 | $311.13 | $457.53 | |
Aetna
| Professional | $311.13 | $311.13 | $311.13 | |
Cigna
| Facility | $305.02 | $305.02 | $311.13 | |
Cigna
| Professional | $311.13 | $311.13 | $447.22 | |
United
| Professional | $305.02 | $305.02 | $441.76 |