| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $658.68 | $1,161.00 | $1,443.00 | |
Aetna
| Professional | $658.68 | $658.68 | $1,187.33 | |
Cigna
| Facility | $112.51 | $438.43 | $1,767.31 | |
United
| Professional | $358.07 | $435.14 | $692.07 |