| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.42 | $698.42 | $698.42 | |
Aetna
| Professional | $31.96 | $31.96 | $31.96 | |
Cigna
| Facility | $31.96 | $31.96 | $85.00 | |
Cigna
| Professional | $31.96 | $31.96 | $121.61 | |
United
| Professional | $36.47 | $37.60 | $54.46 |