| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.41 | $611.41 | $611.41 | |
Aetna
| Professional | $589.83 | $611.41 | $611.41 | |
Cigna
| Facility | $611.41 | $611.41 | $611.41 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
United
| Professional | $651.22 | $683.34 | $820.01 |