| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.43 | $490.35 | $537.13 | |
Cigna
| Facility | $654.00 | $654.00 | $654.75 | |
Cigna
| Professional | $49.75 | $556.54 | $654.75 | |
United
| Professional | $270.76 | $406.13 | $790.88 |