| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $730.23 | $735.69 | $934.58 | |
Cigna
| Facility | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $105.60 | $382.50 | $450.00 | |
United
| Professional | $398.78 | $611.52 | $731.90 |