| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,043.01 | $1,043.01 | $1,043.01 | |
Aetna
| Professional | $470.54 | $858.36 | $1,043.01 | |
Cigna
| Professional | $24.99 | $24.99 | $4,321.62 | |
United
| Professional | $40.57 | $62.77 | $200.41 |