| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.41 | $579.41 | $800.16 | |
Aetna
| Professional | $275.92 | $579.41 | $579.41 | |
Cigna
| Facility | $298.91 | $346.74 | $824.99 | |
Cigna
| Professional | $528.64 | $528.64 | $660.80 | |
United
| Professional | $193.14 | $275.92 | $459.86 |