| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $707.95 | $977.24 | $1,949.84 | |
Cigna
| Facility | $257.04 | $275.42 | $331.13 | |
Cigna
| Professional | $741.31 | $741.31 | $912.01 | |
United
| Facility | $707.95 | $831.76 | $954.99 |