| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.75 | $668.00 | $2,606.78 | |
Aetna
| Professional | $318.75 | $400.00 | $425.00 | |
Cigna
| Facility | $376.90 | $770.09 | $2,397.36 | |
Cigna
| Professional | $1,211.13 | $1,211.13 | $1,211.13 |