| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Aetna
| Professional | $630.96 | $741.31 | $2,818.38 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $616.60 | $1,071.52 | $1,348.96 | |
United
| Professional | $380.19 | $562.34 | $2,041.74 |