| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $887.78 | $887.78 | $887.78 | |
Aetna
| Professional | $609.86 | $640.74 | $640.74 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
United
| Professional | $270.19 | $370.55 | $771.98 |