| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $1,412.54 | |
Aetna
| Professional | $269.15 | $363.08 | $977.24 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $302.00 | $467.74 | $660.69 |