| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $437.83 | $437.83 | $437.83 | |
Aetna
| Professional | $316.00 | $316.00 | $316.00 | |
Cigna
| Professional | $437.37 | $437.37 | $546.71 | |
United
| Professional | $133.25 | $182.75 | $380.72 |