| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $302.00 | $316.23 | $380.19 | |
Cigna
| Professional | $436.52 | $436.52 | $549.54 | |
United
| Professional | $131.83 | $229.09 | $575.44 |