| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,130.22 | $1,130.22 | $1,560.78 | |
Aetna
| Professional | $457.77 | $1,130.22 | $1,130.22 | |
Cigna
| Facility | $219.71 | $583.04 | $1,341.02 | |
Cigna
| Professional | $408.46 | $1,030.84 | $1,348.15 | |
United
| Professional | $376.74 | $538.20 | $897.00 |