| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.13 | $738.13 | $738.13 | |
Aetna
| Professional | $430.04 | $430.04 | $532.74 | |
Cigna
| Facility | $417.20 | $417.20 | $417.20 | |
Cigna
| Professional | $394.14 | $394.14 | $394.14 | |
United
| Professional | $138.16 | $288.83 | $1,412.07 |