| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.67 | $1,048.67 | $1,573.01 | |
Aetna
| Professional | $712.01 | $1,048.67 | $1,440.78 | |
Cigna
| Professional | $848.66 | $1,314.29 | $1,643.37 | |
United
| Professional | $836.19 | $1,141.94 | $1,727.18 |