| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Aetna
| Professional | $501.19 | $562.34 | $645.65 | |
Cigna
| Professional | $676.08 | $676.08 | $831.76 | |
United
| Professional | $223.87 | $380.19 | $954.99 |