| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $794.33 | $794.33 | |
Aetna
| Professional | $302.00 | $363.08 | $501.19 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
United
| Professional | $295.12 | $380.19 | $467.74 |