| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $309.03 | $323.59 | $389.05 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
United
| Professional | $138.04 | $234.42 | $588.84 |