| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $485.02 | $575.41 | $577.40 | |
Cigna
| Facility | $581.42 | $581.42 | $763.12 | |
Cigna
| Professional | $494.22 | $494.22 | $763.12 | |
United
| Professional | $291.08 | $436.61 | $610.04 |