| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Aetna
| Professional | $457.09 | $524.81 | $1,737.80 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $389.05 | $1,513.56 | $1,862.09 | |
United
| Professional | $245.47 | $407.38 | $1,288.25 |