| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $534.83 | $534.83 | $757.35 | |
Aetna
| Professional | $294.69 | $453.02 | $453.02 | |
Cigna
| Professional | $294.69 | $294.69 | $294.69 | |
United
| Professional | $294.69 | $357.90 | $442.04 |