| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.61 | $531.61 | $1,400.00 | |
Aetna
| Professional | $531.61 | $693.03 | $768.75 | |
Cigna
| Facility | $1,001.71 | $1,001.71 | $1,001.71 | |
Cigna
| Professional | $540.82 | $540.82 | $3,066.77 | |
United
| Professional | $426.64 | $577.79 | $1,237.33 |