| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.08 | $1,052.08 | $1,052.08 | |
Aetna
| Professional | $687.10 | $1,052.08 | $2,159.84 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1,056.61 | $1,056.61 | $1,056.61 | |
United
| Professional | $711.04 | $711.04 | $711.04 |