| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.02 | $596.02 | $596.02 | |
Aetna
| Professional | $347.25 | $347.25 | $430.17 | |
Cigna
| Professional | $263.74 | $292.13 | $773.43 | |
United
| Professional | $217.68 | $310.97 | $1,140.22 |