| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $874.00 | $874.00 | $874.00 | |
Aetna
| Professional | $600.40 | $630.79 | $630.79 | |
Cigna
| Facility | $494.00 | $494.00 | $494.00 | |
Cigna
| Professional | $873.50 | $873.50 | $1,091.86 | |
United
| Professional | $266.00 | $364.80 | $760.00 |