| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $630.96 | $758.58 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
United
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $316.23 | $758.58 |