| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,207.50 | $1,207.50 | $1,207.50 | |
Aetna
| Professional | $703.50 | $871.50 | $871.50 | |
Cigna
| Facility | $682.50 | $682.50 | $682.50 | |
Cigna
| Professional | $1,206.36 | $1,206.36 | $1,507.97 | |
United
| Professional | $437.79 | $625.41 | $2,310.00 |