| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $251.19 | $309.03 | $1,122.02 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $173.78 | $204.17 | $537.03 | |
United
| Professional | $158.49 | $223.87 | $831.76 |