| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.86 | $671.86 | $671.86 | |
Aetna
| Professional | $391.43 | $391.43 | $484.91 | |
Cigna
| Facility | $379.75 | $379.75 | $379.75 | |
Cigna
| Professional | $287.89 | $318.88 | $844.26 | |
United
| Professional | $245.38 | $350.54 | $1,285.31 |