| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.94 | $491.94 | $6,907.00 | |
Aetna
| Professional | $191.42 | $202.58 | $218.97 | |
Cigna
| Professional | $197.45 | $265.22 | $376.76 | |
United
| Professional | $205.90 | $270.81 | $496.91 |