| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.35 | $713.32 | $781.37 | |
Cigna
| Facility | $394.97 | $394.97 | $394.97 | |
Cigna
| Professional | $288.33 | $335.72 | $394.97 | |
United
| Professional | $393.77 | $590.66 | $761.18 |