| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $489.78 | $660.69 | |
Aetna
| Professional | $309.03 | $316.23 | $323.59 | |
Cigna
| Facility | $323.59 | $616.60 | $616.60 | |
Cigna
| Professional | $323.59 | $323.59 | $1,737.80 | |
United
| Professional | $323.59 | $323.59 | $380.19 |