| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $467.74 | $1,047.13 | |
Aetna
| Professional | $812.83 | $977.24 | $1,318.26 | |
Cigna
| Professional | $1,288.25 | $1,288.25 | $1,288.25 | |
United
| Professional | $676.08 | $1,348.96 | $1,995.26 |