| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.38 | $666.38 | $666.38 | |
Aetna
| Professional | $457.77 | $480.95 | $480.95 | |
Cigna
| Facility | $376.65 | $376.65 | $376.65 | |
Cigna
| Professional | $287.36 | $665.76 | $832.20 | |
United
| Professional | $202.81 | $278.14 | $579.46 |