| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $309.03 | |
Aetna
| Professional | $295.12 | $302.00 | $363.08 | |
Cigna
| Facility | $309.03 | $309.03 | $588.84 | |
Cigna
| Professional | $309.03 | $309.03 | $1,659.59 | |
United
| Facility | $275.42 | $275.42 | $275.42 | |
United
| Professional | $302.00 | $302.00 | $363.08 |