| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.44 | $575.44 | $575.44 | |
Cigna
| Facility | $426.58 | $426.58 | $426.58 | |
Cigna
| Professional | $363.08 | $426.58 | $436.52 | |
United
| Professional | $34.67 | $39.81 | $60.26 | |
Wellpoint
| Professional | $295.12 | $295.12 | $295.12 |