| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $549.54 | $1,122.02 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Professional | $489.78 | $575.44 | $645.65 |