| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $691.83 | |
Aetna
| Professional | $398.11 | $478.63 | $1,778.28 | |
Cigna
| Facility | $389.05 | $389.05 | $389.05 | |
Cigna
| Professional | $398.11 | $691.83 | $851.14 | |
United
| Professional | $38.02 | $95.50 | $1,318.26 |