| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.47 | $727.47 | $727.47 | |
Aetna
| Professional | $388.40 | $727.47 | $727.47 | |
Cigna
| Professional | $65.25 | $643.37 | $1,068.75 | |
United
| Professional | $258.98 | $345.35 | $660.43 |