| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $652.29 | $923.47 | $12,671.54 | |
Aetna
| Professional | $249.37 | $337.56 | $359.33 | |
Cigna
| Professional | $266.18 | $364.10 | $517.59 | |
United
| Professional | $294.56 | $415.44 | $939.84 |