| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $426.58 | $426.58 | |
Aetna
| Professional | $371.54 | $426.58 | $602.56 | |
Cigna
| Facility | $64.57 | $64.57 | $204.17 | |
Cigna
| Professional | $1,348.96 | $1,348.96 | $1,348.96 |