| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.06 | $323.41 | $6,907.00 | |
Aetna
| Professional | $292.06 | $292.06 | $312.16 | |
Cigna
| Professional | $292.91 | $398.78 | $479.57 | |
United
| Professional | $276.73 | $363.91 | $724.13 |