| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $2,454.71 | $3,981.07 | |
Aetna
| Professional | $426.58 | $575.44 | $691.83 | |
Cigna
| Professional | $870.96 | $870.96 | $1,047.13 | |
United
| Professional | $295.12 | $295.12 | $426.58 |