| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.95 | $8,283.04 | $19,650.88 | |
Aetna
| Professional | $204.43 | $258.42 | $3,222.98 | |
Cigna
| Professional | $273.00 | $447.49 | $4,796.28 | |
United
| Professional | $3,324.86 | $4,455.02 | $7,807.39 |