| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.25 | $246.58 | $6,883.90 | |
Aetna
| Professional | $222.25 | $222.25 | $222.25 | |
Cigna
| Professional | $399.36 | $399.36 | $399.36 | |
United
| Professional | $333.38 | $427.88 | $492.06 |