| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.60 | $687.60 | $687.60 | |
Aetna
| Professional | $400.60 | $496.27 | $496.27 | |
Cigna
| Facility | $388.64 | $388.64 | $388.64 | |
Cigna
| Professional | $686.82 | $686.82 | $858.52 | |
United
| Professional | $251.12 | $358.75 | $1,315.40 |