| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $761.97 | $761.97 | $761.97 | |
Aetna
| Professional | $523.44 | $549.94 | $549.94 | |
Cigna
| Professional | $761.16 | $761.16 | $951.45 | |
United
| Professional | $231.90 | $318.04 | $662.58 |