| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $509.59 | $509.59 | $509.59 | |
Aetna
| Professional | $415.31 | $509.59 | $640.32 | |
Cigna
| Facility | $872.40 | $872.40 | $872.40 | |
Cigna
| Professional | $65.25 | $643.37 | $643.37 | |
Medcost
| Facility | $154.80 | $552.01 | $713.43 | |
Medcost
| Professional | $577.39 | $577.39 | $577.39 | |
United
| Professional | $237.24 | $352.34 | $499.37 |