| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,130.22 | $1,130.22 | $1,560.78 | |
Aetna
| Professional | $538.20 | $1,130.22 | $1,130.22 | |
Cigna
| Facility | $583.04 | $676.34 | $1,341.02 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
United
| Facility | $807.30 | $807.30 | $807.30 | |
United
| Professional | $376.74 | $538.20 | $897.00 |