| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.18 | $749.18 | $856.20 | |
Aetna
| Professional | $713.50 | $749.18 | $856.20 | |
Cigna
| Facility | $713.50 | $713.50 | $713.50 | |
Cigna
| Professional | $713.50 | $713.50 | $713.50 | |
United
| Professional | $674.52 | $713.50 | $927.55 |