| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Aetna
| Professional | $870.96 | $1,047.13 | $1,288.25 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Professional | $467.74 | $676.08 | $2,454.71 |