| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.56 | $287.56 | $4,846.00 | |
Aetna
| Professional | $287.56 | $287.56 | $798.15 | |
Cigna
| Facility | $655.97 | $655.97 | $655.97 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |