| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $891.25 | |
Aetna
| Professional | $512.86 | $630.96 | $2,290.87 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Professional | $323.59 | $457.09 | $1,698.24 |