| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $825.00 | $825.00 | $825.00 | |
Cigna
| Professional | $367.71 | $367.71 | $420.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |