| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $1,193.45 | $1,193.45 | $1,193.45 |
Aetna
| Professional | $1,383.53 | $1,383.53 | $1,650.11 | |
Cigna
| Professional | $1,436.54 | $1,820.14 | $2,303.75 | |
United
| Professional | $1,430.72 | $1,686.65 | $3,667.06 |