| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.12 | $657.38 | $4,372.85 | |
Aetna
| Professional | $106.58 | $204.46 | $266.45 | |
Cigna
| Professional | $127.50 | $220.00 | $420.18 | |
United
| Professional | $213.34 | $293.35 | $576.83 |