| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Aetna
| Professional | $758.58 | $794.33 | $954.99 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 | |
Cigna
| Professional | $1,096.48 | $1,096.48 | $1,348.96 | |
United
| Professional | $331.13 | $575.44 | $1,412.54 |