| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $585.21 | $645.16 | $819.60 | |
Cigna
| Facility | $766.64 | $766.64 | $766.64 | |
Cigna
| Professional | $651.64 | $651.64 | $651.64 | |
United
| Professional | $349.74 | $536.13 | $727.61 |