| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,691.53 | $4,365.16 | |
Aetna
| Professional | $831.76 | $831.76 | $831.76 | |
Cigna
| Professional | $338.84 | $338.84 | $398.11 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 |