| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $624.91 | $733.60 | $733.60 | |
Aetna
| Professional | $444.31 | $470.75 | $497.19 | |
Cigna
| Professional | $447.90 | $546.27 | $708.11 | |
United
| Professional | $388.75 | $493.24 | $1,201.57 |