| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $626.03 | $702.11 | $745.28 | |
Cigna
| Facility | $251.69 | $251.69 | $251.69 | |
Cigna
| Professional | $213.94 | $213.94 | $251.69 | |
United
| Professional | $264.56 | $417.81 | $702.20 |