| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.91 | $578.91 | $578.91 | |
Aetna
| Professional | $397.69 | $417.82 | $417.82 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
United
| Professional | $176.19 | $302.04 | $503.40 |