| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.71 | $373.71 | $373.71 | |
Aetna
| Professional | $373.71 | $373.71 | $658.27 | |
Cigna
| Facility | $350.00 | $683.13 | $1,457.61 | |
United
| Professional | $564.22 | $666.32 | $1,116.00 |