| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $670.64 | $702.15 | $739.34 | |
Cigna
| Facility | $746.73 | $746.73 | $746.73 | |
Cigna
| Professional | $90.22 | $634.72 | $746.73 | |
United
| Professional | $340.71 | $522.42 | $625.30 |