| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.12 | $739.40 | $1,067.83 | |
Aetna
| Professional | $739.40 | $739.40 | $739.40 | |
Cigna
| Facility | $672.18 | $739.40 | $739.40 | |
Cigna
| Professional | $739.40 | $739.40 | $1,004.32 | |
United
| Professional | $85.80 | $114.40 | $380.43 |