| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $556.89 | $578.72 | $650.14 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $305.64 | $359.59 | |
United
| Professional | $361.25 | $541.88 | $803.31 |