| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.91 | $578.91 | $578.91 | |
Aetna
| Professional | $397.69 | $417.82 | $417.82 | |
Cigna
| Facility | $327.20 | $327.20 | $327.20 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
United
| Professional | $176.19 | $241.63 | $503.40 |