| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.23 | $1,214.63 | $1,576.64 | |
Aetna
| Professional | $1,101.70 | $1,214.63 | $1,965.51 | |
Cigna
| Professional | $1,238.93 | $1,238.93 | $1,238.93 | |
United
| Professional | $1,153.90 | $1,214.63 | $1,214.63 |