| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.69 | $2,116.73 | $6,907.00 | |
Aetna
| Professional | $149.97 | $166.03 | $176.10 | |
Cigna
| Professional | $159.91 | $221.40 | $272.63 | |
United
| Professional | $154.16 | $205.13 | $403.36 |