| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $653.89 | $653.89 | $653.89 | |
Aetna
| Professional | $71.66 | $665.07 | $896.54 | |
Cigna
| Facility | $803.63 | $803.63 | $803.63 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
United
| Professional | $57.14 | $100.83 | $248.90 |