| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $3,949.00 | $15,648.00 | |
Aetna
| Professional | $379.99 | $1,254.88 | $1,768.18 | |
Cigna
| Professional | $388.23 | $1,052.74 | $2,384.94 | |
United
| Professional | $1,348.56 | $1,864.77 | $3,462.56 |