| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $977.24 | |
Aetna
| Professional | $660.69 | $691.83 | $831.76 | |
Cigna
| Professional | $954.99 | $954.99 | $1,202.26 | |
United
| Professional | $295.12 | $501.19 | $1,258.93 |