| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $210.13 | $269.57 | $388.44 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $327.95 | |
United
| Professional | $15.45 | $23.71 | $63.99 |