| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.00 | $1,462.00 | $2,235.00 | |
Aetna
| Professional | $250.00 | $318.75 | $475.00 | |
Cigna
| Facility | $128.44 | $154.59 | $1,509.07 | |
Cigna
| Professional | $344.35 | $344.35 | $344.35 |