| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $426.58 | |
Aetna
| Professional | $398.11 | $416.87 | $426.58 | |
Cigna
| Facility | $426.58 | $794.33 | $794.33 | |
Cigna
| Professional | $426.58 | $426.58 | $2,238.72 | |
United
| Professional | $125.89 | $501.19 | $501.19 |