| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $605.16 | $605.16 | $605.16 | |
Aetna
| Professional | $436.77 | $436.77 | $436.77 | |
Cigna
| Professional | $604.63 | $604.63 | $755.79 | |
United
| Professional | $184.18 | $252.59 | $526.23 |