| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.25 | $914.25 | $914.25 | |
Aetna
| Professional | $532.65 | $659.85 | $659.85 | |
Cigna
| Professional | $913.56 | $913.56 | $1,141.95 | |
United
| Professional | $333.90 | $477.00 | $1,749.00 |