| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $663.05 | $663.05 | $915.64 | |
Aetna
| Professional | $315.74 | $663.05 | $663.05 | |
Cigna
| Facility | $342.05 | $396.78 | $944.06 | |
Cigna
| Professional | $604.63 | $604.63 | $755.79 | |
United
| Facility | $473.61 | $473.61 | $473.61 | |
United
| Professional | $221.02 | $315.74 | $526.23 |