| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $588.84 | $724.44 | |
Cigna
| Professional | $831.76 | $831.76 | $1,023.29 | |
United
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Professional | $302.00 | $302.00 | $724.44 |