| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $512.86 | $524.81 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Cigna
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Professional | $478.63 | $501.19 | $602.56 |