| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $708.61 | $756.13 | $900.15 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $305.64 | $305.64 | |
United
| Professional | $392.65 | $588.97 | $799.28 |