| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.33 | $665.01 | $3,150.97 | |
Aetna
| Professional | $108.80 | $207.27 | $269.51 | |
Cigna
| Professional | $129.72 | $221.43 | $422.32 | |
United
| Professional | $226.08 | $306.82 | $594.75 |