| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $354.81 | $354.81 | |
Aetna
| Professional | $316.23 | $426.58 | $602.56 | |
Cigna
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
United
| Professional | $2,818.38 | $2,818.38 | $2,818.38 |