| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,267.73 | $1,267.73 | $1,267.73 | |
Aetna
| Professional | $910.65 | $944.69 | $1,267.73 | |
Cigna
| Professional | $1,085.43 | $1,427.82 | $1,696.63 | |
United
| Professional | $966.02 | $1,283.70 | $2,939.10 |