| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,197.00 | $1,197.00 | $1,653.00 | |
Aetna
| Professional | $570.00 | $1,197.00 | $1,197.00 | |
Cigna
| Facility | $617.50 | $716.30 | $1,704.30 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
United
| Professional | $399.00 | $570.00 | $950.00 |