| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.00 | $1,816.00 | $2,322.00 | |
Aetna
| Professional | $425.00 | $1,560.41 | $1,560.41 | |
Cigna
| Facility | $286.82 | $290.85 | $630.00 | |
Cigna
| Professional | $420.00 | $525.00 | $772.33 |