| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.60 | $579.60 | $579.60 | |
Aetna
| Professional | $337.68 | $418.32 | $418.32 | |
Cigna
| Facility | $327.60 | $327.60 | $327.60 | |
Cigna
| Professional | $579.03 | $579.03 | $723.78 | |
United
| Professional | $211.68 | $302.39 | $1,108.80 |