| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Aetna
| Professional | $467.74 | $537.03 | $1,905.46 | |
Cigna
| Professional | $741.31 | $741.31 | $912.01 | |
United
| Professional | $223.87 | $380.19 | $954.99 |