| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.50 | $1,632.00 | $4,478.00 | |
Aetna
| Professional | $517.50 | $517.50 | $517.50 | |
Cigna
| Professional | $262.64 | $262.64 | $300.00 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,992.00 |