| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.34 | $720.34 | $6,907.00 | |
Aetna
| Professional | $260.14 | $260.14 | $280.29 | |
Cigna
| Professional | $215.91 | $310.95 | $355.61 | |
United
| Professional | $238.64 | $301.33 | $602.16 |