| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,552.72 | $1,552.72 | $1,552.72 | |
Aetna
| Professional | $904.63 | $1,120.66 | $1,120.66 | |
Cigna
| Facility | $877.62 | $877.62 | $877.62 | |
Cigna
| Professional | $1,551.64 | $1,551.64 | $1,939.55 | |
United
| Professional | $567.08 | $810.11 | $2,970.42 |