| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $602.56 | $602.56 | |
Aetna
| Professional | $416.87 | $416.87 | $436.52 | |
Cigna
| Professional | $602.56 | $602.56 | $758.58 | |
United
| Professional | $186.21 | $316.23 | $794.33 |