| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $442.97 | $442.97 | $442.97 | |
Aetna
| Professional | $369.68 | $373.38 | $442.97 | |
Cigna
| Professional | $187.20 | $187.20 | $187.20 | |
United
| Professional | $321.36 | $321.36 | $321.36 |