| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.56 | $1,571.09 | $4,736.00 | |
Aetna
| Professional | $151.56 | $203.76 | $2,070.38 | |
Cigna
| Professional | $198.12 | $301.48 | $3,051.70 | |
United
| Professional | $1,626.78 | $2,641.65 | $4,264.09 |