| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $777.98 | $777.98 | $777.98 | |
Aetna
| Professional | $453.26 | $453.26 | $561.50 | |
Cigna
| Facility | $439.73 | $439.73 | $439.73 | |
Cigna
| Professional | $348.81 | $386.36 | $1,022.90 | |
United
| Professional | $284.13 | $424.21 | $1,488.30 |