| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.23 | $852.23 | $1,176.88 | |
Aetna
| Professional | $574.91 | $852.23 | $852.23 | |
Cigna
| Facility | $439.64 | $509.98 | $1,213.41 | |
United
| Professional | $284.08 | $405.82 | $677.38 |