| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $1,412.54 | |
Aetna
| Professional | $660.69 | $660.69 | $1,380.38 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $1,230.27 | $1,230.27 | $4,365.16 |