| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.40 | $672.40 | $672.40 | |
Aetna
| Professional | $488.61 | $672.40 | $746.98 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
United
| Professional | $662.32 | $827.90 | $1,175.29 |