| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,092.50 | $1,092.50 | $1,092.50 | |
Aetna
| Professional | $750.50 | $788.50 | $788.50 | |
Cigna
| Facility | $617.50 | $617.50 | $617.50 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
United
| Professional | $332.50 | $456.00 | $950.00 |