| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,215.08 | $1,606.42 | $9,500.79 | |
Aetna
| Professional | $375.75 | $509.31 | $673.50 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $385.93 | $507.45 | $795.04 | |
United
| Professional | $470.57 | $552.30 | $679.80 |