| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.86 | $921.86 | $921.86 | |
Aetna
| Professional | $633.28 | $665.34 | $665.34 | |
Cigna
| Facility | $521.04 | $521.04 | $521.04 | |
Cigna
| Professional | $175.11 | $920.99 | $1,151.24 | |
United
| Professional | $163.40 | $276.30 | $480.97 |