| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $426.58 | |
Aetna
| Professional | $269.15 | $371.54 | $602.56 | |
Cigna
| Facility | $138.04 | $138.04 | $1,148.15 | |
Cigna
| Professional | $1,071.52 | $1,071.52 | $1,071.52 |