| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $380.19 | $380.19 | |
Aetna
| Professional | $354.81 | $371.54 | $446.68 | |
Cigna
| Facility | $380.19 | $380.19 | $426.58 | |
Cigna
| Professional | $380.19 | $380.19 | $1,995.26 | |
United
| Professional | $380.19 | $389.05 | $446.68 |