| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $977.24 | |
Aetna
| Professional | $812.83 | $891.25 | $977.24 | |
Cigna
| Facility | $158.49 | $257.04 | $467.74 | |
Cigna
| Professional | $741.31 | $912.01 | $1,174.90 | |
United
| Facility | $478.63 | $478.63 | $478.63 |