| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.56 | $233.56 | $641.82 | |
Aetna
| Professional | $233.56 | $233.56 | $2,234.60 | |
Cigna
| Facility | $1,674.69 | $1,674.69 | $1,674.69 | |
Cigna
| Professional | $2,060.79 | $2,060.79 | $2,060.79 |