| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.00 | $3,949.00 | $15,648.00 | |
Aetna
| Professional | $272.44 | $892.36 | $1,642.89 | |
Cigna
| Professional | $283.29 | $882.65 | $2,100.96 | |
United
| Professional | $1,243.01 | $1,608.60 | $3,217.19 |