| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $791.17 | $844.26 | $854.33 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $113.58 | $398.65 | $469.00 | |
United
| Professional | $438.48 | $657.73 | $892.30 |