| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.81 | $479.81 | $479.81 | |
Aetna
| Professional | $461.36 | $461.36 | $479.81 | |
Cigna
| Facility | $435.24 | $461.36 | $461.36 | |
Cigna
| Professional | $461.36 | $461.36 | $461.36 | |
United
| Professional | $461.36 | $461.36 | $461.36 |