| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,334.00 | $2,050.29 | $2,050.29 | |
Aetna
| Professional | $777.20 | $777.20 | $962.80 | |
Cigna
| Facility | $754.00 | $754.00 | $754.00 | |
United
| Professional | $487.20 | $696.00 | $2,552.00 |