| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $569.09 | $604.66 | $604.66 | |
Cigna
| Facility | $628.37 | $628.37 | $628.37 | |
Cigna
| Professional | $628.37 | $628.37 | $628.37 | |
United
| Professional | $592.79 | $628.37 | $889.20 |