| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.75 | $966.75 | $966.75 | |
Aetna
| Professional | $664.11 | $697.74 | $697.74 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
United
| Professional | $294.23 | $403.51 | $840.65 |