| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $733.76 | $807.23 | $873.53 | |
Cigna
| Facility | $867.37 | $867.37 | $867.37 | |
Cigna
| Professional | $737.26 | $737.26 | $867.37 | |
United
| Professional | $440.16 | $660.24 | $1,076.61 |