| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $602.56 | $707.95 | |
Cigna
| Professional | $812.83 | $812.83 | $1,023.29 | |
United
| Facility | $707.95 | $707.95 | $707.95 | |
United
| Professional | $302.00 | $302.00 | $707.95 |