| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $1,548.82 | $1,819.70 | |
Aetna
| Professional | $489.78 | $575.44 | $676.08 | |
Cigna
| Professional | $912.01 | $912.01 | $1,071.52 | |
Medcost
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Facility | $309.03 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $389.05 | $851.14 |