| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $354.81 | $2,041.74 | |
Aetna
| Professional | $102.33 | $128.82 | $338.84 | |
Cigna
| Professional | $114.82 | $114.82 | $114.82 | |
United
| Professional | $446.68 | $446.68 | $446.68 |