| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $736.84 | $736.84 | $736.84 | |
Aetna
| Professional | $506.18 | $557.44 | $557.44 | |
Cigna
| Professional | $668.63 | $668.63 | $835.78 | |
United
| Professional | $224.26 | $384.44 | $640.73 |