| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.96 | $561.96 | $561.96 | |
Aetna
| Professional | $327.39 | $405.58 | $508.20 | |
Cigna
| Facility | $317.63 | $317.63 | $317.63 | |
Cigna
| Professional | $350.58 | $394.23 | $982.80 | |
United
| Professional | $205.24 | $409.63 | $1,075.05 |