| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.64 | $1,436.11 | $6,130.51 | |
Aetna
| Professional | $159.06 | $439.64 | $558.79 | |
Cigna
| Professional | $166.56 | $389.58 | $875.49 | |
United
| Professional | $537.01 | $699.74 | $1,266.80 |