| 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 | $1,217.90 | |
Cigna
| Facility | $89.88 | $89.88 | $1,767.31 | |
United
| Professional | $826.98 | $1,053.90 | $1,645.70 |