| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $812.83 | $812.83 | |
Aetna
| Professional | $562.34 | $588.84 | $707.95 | |
Cigna
| Professional | $812.83 | $812.83 | $1,023.29 | |
United
| Professional | $251.19 | $426.58 | $1,071.52 |