| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $505.15 | $539.51 | $720.56 | |
Cigna
| Facility | $568.02 | $568.02 | $695.55 | |
Cigna
| Professional | $482.82 | $568.02 | $695.55 | |
United
| Professional | $290.80 | $536.51 | $973.16 |