| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.25 | $330.19 | $1,443.00 | |
Aetna
| Professional | $250.00 | $318.75 | $318.75 | |
Cigna
| Facility | $165.61 | $366.42 | $685.04 | |
Cigna
| Professional | $1,940.81 | $1,940.81 | $1,940.81 |