| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $537.03 | |
Aetna
| Professional | $363.08 | $371.54 | $380.19 | |
Cigna
| Professional | $537.03 | $537.03 | $660.69 | |
United
| Professional | $162.18 | $275.42 | $691.83 |