| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Aetna
| Professional | $630.96 | $758.58 | $954.99 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 | |
United
| Professional | $398.11 | $575.44 | $2,089.30 |