| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.59 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $47.86 | $474.59 | $1,456.81 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |