| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,499.54 | $1,499.54 | $1,499.54 | |
Aetna
| Professional | $873.65 | $873.65 | $1,082.28 | |
Cigna
| Facility | $726.69 | $726.69 | $726.69 | |
United
| Professional | $469.55 | $670.79 | $2,459.56 |