| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.40 | $666.40 | $666.40 | |
Aetna
| Professional | $457.79 | $480.97 | $480.97 | |
Cigna
| Facility | $376.66 | $376.66 | $376.66 | |
Cigna
| Professional | $388.94 | $665.76 | $1,065.09 | |
United
| Professional | $243.38 | $347.69 | $809.76 |