| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $588.84 | $724.44 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $426.58 | $549.54 | $1,047.13 |