| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.88 | $587.88 | $587.88 | |
Aetna
| Professional | $403.85 | $424.30 | $424.30 | |
Cigna
| Professional | $587.29 | $587.29 | $734.11 | |
United
| Professional | $178.92 | $245.38 | $511.20 |