| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $1,318.26 | $1,479.11 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $309.03 | $309.03 | $309.03 |