| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.20 | $935.50 | $1,037.74 | |
Aetna
| Professional | $403.85 | $403.85 | $403.85 | |
Cigna
| Facility | $332.28 | $332.28 | $348.89 | |
Cigna
| Professional | $587.29 | $587.29 | $734.11 | |
United
| Professional | $214.70 | $255.60 | $872.60 |