| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.51 | $781.51 | $781.51 | |
Aetna
| Professional | $455.31 | $564.04 | $564.04 | |
Cigna
| Facility | $441.72 | $441.72 | $441.72 | |
Cigna
| Professional | $780.98 | $780.98 | $976.23 | |
United
| Professional | $285.42 | $407.74 | $1,495.05 |