| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.51 | $261.51 | $261.51 | |
Aetna
| Professional | $261.51 | $355.61 | $408.34 | |
Cigna
| Facility | $440.51 | $440.51 | $554.63 | |
Cigna
| Professional | $440.51 | $440.51 | $2,179.60 | |
United
| Professional | $505.13 | $520.75 | $754.20 |