| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.00 | $372.39 | $6,907.00 | |
Aetna
| Professional | $71.40 | $88.67 | $144.90 | |
Cigna
| Professional | $75.48 | $114.90 | $170.98 | |
United
| Professional | $106.26 | $126.40 | $287.31 |