| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $774.14 | $853.22 | $921.60 | |
Cigna
| Facility | $606.51 | $606.51 | $606.51 | |
Cigna
| Professional | $122.23 | $515.53 | $606.51 | |
United
| Professional | $465.20 | $697.80 | $990.48 |