| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $318.00 | |
Aetna
| Professional | $318.00 | $318.00 | $381.60 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
United
| Professional | $270.30 | $318.00 | $318.00 |