| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.43 | $374.43 | $585.04 | |
Aetna
| Professional | $351.46 | $544.42 | $585.04 | |
Cigna
| Facility | $375.74 | $375.74 | $375.74 | |
Cigna
| Professional | $319.38 | $319.38 | $598.49 | |
United
| Professional | $200.00 | $333.32 | $462.27 |