| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $540.66 | $578.96 | $655.35 | |
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $83.10 | $584.72 | $687.90 | |
United
| Professional | $313.98 | $481.30 | $575.92 |