| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $611.71 | $3,249.09 | $24,237.52 | |
Aetna
| Professional | $214.30 | $264.86 | $1,264.24 | |
Cigna
| Professional | $224.44 | $678.67 | $1,646.52 | |
United
| Professional | $946.34 | $1,351.25 | $2,455.82 |