| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,499.54 | $1,499.54 | $1,499.54 | |
Aetna
| Professional | $346.75 | $364.31 | $873.65 | |
Cigna
| Facility | $285.30 | $285.30 | $285.30 | |
Cigna
| Professional | $1,498.36 | $1,498.36 | $1,872.96 | |
United
| Professional | $184.35 | $263.36 | $965.65 |