| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $660.69 | $660.69 | $1,230.27 | |
Cigna
| Facility | $776.25 | $776.25 | $776.25 | |
United
| Facility | $602.56 | $1,445.44 | $4,365.16 |