| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.59 | $843.83 | $867.54 | |
Aetna
| Professional | $328.34 | $328.34 | $366.53 | |
Cigna
| Facility | $341.04 | $341.04 | $341.04 | |
Cigna
| Professional | $328.34 | $328.34 | $328.34 | |
United
| Professional | $328.34 | $364.46 | $1,275.22 |