| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.20 | $880.20 | $1,143.58 | |
Aetna
| Professional | $506.43 | $745.93 | $1,131.04 | |
Cigna
| Professional | $694.04 | $924.88 | $1,367.33 | |
United
| Professional | $642.36 | $844.18 | $1,904.98 |