| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,066.30 | $1,066.30 | $1,472.51 | |
Aetna
| Professional | $507.76 | $820.88 | $1,066.30 | |
Cigna
| Facility | $550.08 | $638.09 | $1,518.22 | |
United
| Professional | $355.43 | $507.76 | $846.27 |