| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $481.92 | $552.20 | $687.45 | |
Cigna
| Facility | $552.13 | $552.13 | $552.13 | |
Cigna
| Professional | $469.31 | $552.13 | $552.13 | |
United
| Professional | $290.80 | $487.86 | $928.41 |