| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $263.03 | |
Aetna
| Professional | $204.17 | $323.59 | $407.38 | |
Cigna
| Facility | $457.09 | $457.09 | $776.25 | |
Cigna
| Professional | $457.09 | $457.09 | $2,344.23 | |
United
| Professional | $501.19 | $524.81 | $524.81 |