| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,035.00 | $1,035.00 | $1,035.00 | |
Aetna
| Professional | $603.00 | $603.00 | $747.00 | |
Cigna
| Facility | $585.00 | $585.00 | $585.00 | |
United
| Professional | $378.00 | $540.00 | $1,980.00 |