| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.51 | $270.51 | $270.51 | |
Aetna
| Professional | $270.51 | $270.51 | $270.51 | |
Cigna
| Professional | $277.02 | $277.02 | $277.02 | |
United
| Professional | $271.60 | $271.60 | $271.60 |