| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $686.00 | $686.00 | $829.95 | |
Cigna
| Facility | $674.40 | $674.40 | $674.40 | |
Cigna
| Professional | $686.00 | $686.00 | $686.00 | |
United
| Professional | $664.68 | $727.16 | $1,029.00 |