| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.70 | $400.95 | $840.00 | |
Aetna
| Professional | $231.41 | $336.39 | $435.43 | |
Cigna
| Facility | $547.66 | $547.66 | $547.66 | |
Cigna
| Professional | $418.11 | $418.11 | $1,903.66 | |
United
| Professional | $307.61 | $457.64 | $700.90 |