| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.58 | $523.20 | $34,608.90 | |
Aetna
| Professional | $203.58 | $226.18 | $494.70 | |
Cigna
| Professional | $203.58 | $203.58 | $203.58 | |
United
| Professional | $215.79 | $255.94 | $313.52 |