| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $501.19 | |
Aetna
| Professional | $288.40 | $363.08 | $1,318.26 | |
Cigna
| Facility | $281.84 | $281.84 | $281.84 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
United
| Professional | $181.97 | $263.03 | $954.99 |