| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.43 | $455.43 | $4,790.64 | |
Aetna
| Professional | $455.43 | $455.43 | $2,395.33 | |
Cigna
| Facility | $1,789.61 | $2,075.94 | $4,939.32 | |
United
| Professional | $1,156.36 | $1,651.95 | $2,753.25 |