| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.00 | $1,678.00 | $2,235.00 | |
Aetna
| Professional | $250.00 | $318.75 | $475.00 | |
Cigna
| Facility | $64.00 | $192.12 | $630.00 | |
Cigna
| Professional | $511.77 | $1,098.77 | $1,098.77 |