| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.13 | $738.13 | $738.13 | |
Aetna
| Professional | $430.04 | $430.04 | $532.74 | |
Cigna
| Professional | $326.61 | $361.77 | $957.80 | |
United
| Professional | $269.58 | $385.11 | $1,412.07 |