| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,031.55 | $1,031.55 | $1,031.55 | |
Aetna
| Professional | $708.63 | $744.51 | $744.51 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
United
| Professional | $313.95 | $376.74 | $897.00 |