| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.83 | $489.32 | $825.00 | |
Aetna
| Professional | $393.03 | $425.00 | $425.00 | |
Cigna
| Facility | $831.32 | $831.32 | $831.32 | |
Cigna
| Professional | $379.55 | $630.69 | $984.01 | |
United
| Professional | $367.50 | $851.51 | $1,010.61 |