| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $676.08 | |
Aetna
| Professional | $389.05 | $489.78 | $1,737.80 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $338.84 | $389.05 | $1,047.13 | |
United
| Professional | $245.47 | $354.81 | $1,288.25 |