| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $524.81 | $524.81 | |
Aetna
| Professional | $363.08 | $380.19 | $457.09 | |
Cigna
| Professional | $524.81 | $524.81 | $660.69 | |
United
| Professional | $162.18 | $275.42 | $691.83 |