| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.69 | $454.69 | $454.69 | |
Aetna
| Professional | $454.69 | $550.25 | $930.45 | |
Cigna
| Professional | $29.51 | $31.36 | $49.80 | |
United
| Professional | $753.55 | $974.59 | $1,352.16 |