| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.07 | $464.88 | $519.14 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $473.01 | $550.77 | $647.96 | |
United
| Professional | $261.63 | $392.44 | $517.90 |