| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $776.25 | $776.25 | |
Aetna
| Professional | $478.63 | $776.25 | $977.24 | |
Cigna
| Facility | $257.04 | $275.42 | $331.13 | |
Cigna
| Professional | $524.81 | $524.81 | $645.65 | |
United
| Facility | $707.95 | $831.76 | $954.99 |