| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.15 | $515.15 | $1,400.00 | |
Aetna
| Professional | $552.21 | $728.46 | $822.70 | |
Cigna
| Facility | $857.83 | $857.83 | $857.83 | |
Cigna
| Professional | $679.39 | $679.39 | $679.39 | |
United
| Professional | $543.66 | $781.51 | $1,177.49 |