| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Aetna
| Professional | $562.34 | $575.44 | $602.56 | |
Cigna
| Professional | $831.76 | $831.76 | $1,023.29 | |
United
| Professional | $251.19 | $436.52 | $1,071.52 |