| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $954.99 | $1,318.26 | |
Aetna
| Professional | $512.86 | $512.86 | $954.99 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
United
| Facility | $954.99 | $1,230.27 | $2,344.23 |