| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $716.49 | $716.49 | $716.49 | |
Aetna
| Professional | $358.96 | $461.88 | $507.29 | |
Cigna
| Professional | $381.29 | $429.79 | $802.27 | |
United
| Professional | $356.84 | $500.00 | $1,100.00 |