| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $248.71 | $248.71 | |
Aetna
| Professional | $248.71 | $248.71 | $1,040.33 | |
Cigna
| Facility | $404.08 | $404.08 | $404.08 | |
Cigna
| Professional | $324.56 | $324.56 | $324.56 | |
United
| Professional | $699.93 | $699.93 | $699.93 |