| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.28 | $634.28 | $875.92 | |
Aetna
| Professional | $302.04 | $634.28 | $634.28 | |
Cigna
| Facility | $327.20 | $379.56 | $903.10 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
United
| Facility | $453.06 | $453.06 | $503.40 | |
United
| Professional | $211.43 | $302.04 | $503.40 |