| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $674.31 | $674.31 | $674.31 | |
Aetna
| Professional | $294.43 | $294.43 | $346.51 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
United
| Professional | $346.40 | $346.40 | $433.76 |