| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.26 | $869.83 | $920.43 | |
Cigna
| Facility | $396.70 | $396.70 | $396.70 | |
Cigna
| Professional | $337.20 | $396.70 | $396.70 | |
United
| Professional | $571.49 | $929.95 | $1,937.39 |