| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.89 | $1,645.00 | $2,183.00 | |
Aetna
| Professional | $250.00 | $318.75 | $475.00 | |
Cigna
| Facility | $190.01 | $630.00 | $1,379.52 | |
Cigna
| Professional | $1,940.81 | $1,940.81 | $1,940.81 |