| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.64 | $561.64 | $561.64 | |
Aetna
| Professional | $285.25 | $561.64 | $561.64 | |
Cigna
| Facility | $375.74 | $375.74 | $668.13 | |
Cigna
| Professional | $319.38 | $319.38 | $774.75 | |
United
| Professional | $200.00 | $333.32 | $462.27 |