| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.45 | $480.45 | $625.97 | |
Aetna
| Professional | $286.80 | $407.16 | $530.48 | |
Cigna
| Professional | $392.98 | $521.48 | $748.44 | |
United
| Professional | $395.90 | $513.49 | $1,070.43 |