| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.00 | $1,201.78 | $2,825.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,201.78 | |
Cigna
| Professional | $549.38 | $549.38 | $549.38 | |
United
| Facility | $225.00 | $587.00 | $1,893.00 |