| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.18 | $468.51 | $6,907.00 | |
Aetna
| Professional | $117.97 | $117.97 | $182.30 | |
Cigna
| Professional | $130.10 | $192.91 | $280.45 | |
United
| Professional | $168.37 | $219.17 | $482.97 |