| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.36 | $449.36 | $449.36 | |
Aetna
| Professional | $308.69 | $324.32 | $324.32 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
United
| Professional | $136.76 | $187.56 | $390.75 |