| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.24 | $2,449.87 | $6,907.00 | |
Aetna
| Professional | $50.12 | $437.24 | $1,008.38 | |
Cigna
| Professional | $63.48 | $111.05 | $1,406.57 | |
United
| Professional | $985.93 | $1,378.80 | $2,244.80 |