| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $586.12 | $625.46 | $744.60 | |
Cigna
| Facility | $428.20 | $428.20 | $428.20 | |
Cigna
| Professional | $84.14 | $363.97 | $428.20 | |
United
| Professional | $317.85 | $487.27 | $583.39 |