| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.05 | $564.71 | $615.54 | |
Cigna
| Facility | $369.39 | $369.39 | $369.39 | |
Cigna
| Professional | $269.64 | $313.98 | $369.39 | |
United
| Professional | $310.20 | $465.31 | $601.49 |