| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $2,570.40 | $4,168.69 | |
Aetna
| Professional | $416.87 | $588.84 | $724.44 | |
Cigna
| Professional | $912.01 | $912.01 | $1,071.52 | |
United
| Professional | $309.03 | $309.03 | $446.68 |