| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.91 | $2,250.36 | $2,362.08 | |
Aetna
| Professional | $174.73 | $174.73 | $216.46 | |
Cigna
| Facility | $169.51 | $169.51 | $169.51 | |
Cigna
| Professional | $487.39 | $487.39 | $487.39 | |
United
| Professional | $109.53 | $213.47 | $573.74 |