| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.75 | $306.60 | $4,736.00 | |
Aetna
| Professional | $123.75 | $167.66 | $306.60 | |
Cigna
| Professional | $116.82 | $228.66 | $471.31 | |
United
| Professional | $254.38 | $308.86 | $691.58 |