| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $354.81 | $407.38 | $501.19 | |
Cigna
| Professional | $575.44 | $575.44 | $575.44 | |
United
| Professional | $354.81 | $562.34 | $1,023.29 |