| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $550.03 | $630.25 | $666.88 | |
Cigna
| Facility | $860.04 | $860.04 | $860.04 | |
Cigna
| Professional | $731.03 | $860.04 | $860.04 | |
United
| Professional | $487.22 | $792.74 | $1,321.24 |