| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,818.38 | $8,511.38 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,479.11 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $50.12 | $602.56 | $3,162.28 |