| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $954.99 | $1,412.54 | |
Aetna
| Professional | $407.38 | $776.25 | $954.99 | |
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
Cigna
| Professional | $2,754.23 | $2,754.23 | $2,754.23 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $323.59 | $501.19 | $741.31 |