| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.00 | $682.00 | $718.30 | |
Aetna
| Professional | $56.84 | $60.31 | $60.31 | |
Cigna
| Facility | $80.29 | $80.29 | $80.29 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
United
| Professional | $41.31 | $90.50 | $166.89 |