| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.11 | $644.11 | $889.49 | |
Aetna
| Professional | $306.72 | $644.11 | $644.11 | |
Cigna
| Facility | $332.28 | $385.44 | $917.09 | |
Cigna
| Professional | $587.29 | $587.29 | $734.11 | |
United
| Professional | $214.70 | $306.72 | $511.20 |