| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.84 | $528.84 | $528.84 | |
Aetna
| Professional | $363.29 | $381.68 | $381.68 | |
Cigna
| Professional | $528.64 | $528.64 | $660.80 | |
United
| Professional | $160.94 | $220.73 | $459.86 |