| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $549.54 | |
Aetna
| Professional | $426.58 | $501.19 | $575.44 | |
Cigna
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $354.81 | $691.83 | $1,047.13 |