| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $585.44 | $715.70 | $1,400.00 |
Aetna
| Professional | QZ | $521.37 | $521.37 | $959.42 |
Cigna
| Professional | AA | $342.85 | $342.85 | $428.56 |
United
| Professional | AA | $88.00 | $88.00 | $88.00 |