| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,499.54 | $1,499.54 | $1,499.54 | |
Aetna
| Professional | $536.45 | $563.61 | $873.65 | |
Cigna
| Facility | $441.38 | $441.38 | $441.38 | |
Cigna
| Professional | $1,498.36 | $1,498.36 | $1,872.96 | |
United
| Professional | $285.20 | $407.43 | $1,493.91 |