| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $469.73 | $501.74 | $670.01 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $463.25 | $545.00 | $545.00 | |
United
| Professional | $290.80 | $499.04 | $904.77 |