| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.70 | $861.30 | $3,949.00 | |
Aetna
| Professional | $189.38 | $344.21 | $344.21 | |
Cigna
| Professional | $186.87 | $321.26 | $440.44 | |
United
| Professional | $270.82 | $370.12 | $864.93 |