| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.36 | $461.36 | $461.36 | |
Aetna
| Professional | $461.36 | $461.36 | $507.49 | |
Cigna
| Facility | $461.36 | $461.36 | $461.36 | |
Cigna
| Professional | $461.36 | $461.36 | $461.36 | |
United
| Professional | $401.38 | $461.36 | $461.36 |