| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $911.00 | $911.00 | |
Aetna
| Professional | $625.82 | $657.50 | $657.50 | |
Cigna
| Professional | $910.25 | $910.25 | $1,137.82 | |
United
| Professional | $277.26 | $475.30 | $792.17 |