| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.59 | $487.59 | $487.59 | |
Aetna
| Professional | $487.59 | $487.59 | $536.34 | |
Cigna
| Facility | $487.59 | $487.59 | $487.59 | |
Cigna
| Professional | $487.59 | $487.59 | $487.59 | |
United
| Professional | $414.45 | $487.59 | $487.59 |