| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $874.00 | $874.00 | $874.00 | |
Aetna
| Professional | $509.20 | $509.20 | $630.79 | |
Cigna
| Facility | $494.00 | $494.00 | $494.00 | |
Cigna
| Professional | $298.01 | $330.10 | $873.94 | |
United
| Professional | $289.01 | $456.00 | $1,672.00 |