| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $630.96 | |
Aetna
| Professional | $83.18 | $151.36 | $269.15 | |
Cigna
| Professional | $120.23 | $141.25 | $467.74 | |
United
| Professional | $120.23 | $186.21 | $537.03 |