| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $2,454.71 | $3,890.45 | |
Aetna
| Professional | $389.05 | $562.34 | $676.08 | |
Cigna
| Professional | $851.14 | $851.14 | $1,023.29 | |
United
| Professional | $295.12 | $295.12 | $416.87 |