| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.26 | $646.26 | $646.26 | |
Aetna
| Professional | $328.23 | $646.26 | $646.26 | |
Cigna
| Facility | $502.54 | $502.54 | $820.61 | |
Cigna
| Professional | $427.16 | $502.54 | $731.76 | |
United
| Professional | $233.65 | $383.54 | $540.07 |