| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $531.22 | $589.28 | $640.87 | |
Cigna
| Facility | $612.00 | $612.00 | $612.00 | |
Cigna
| Professional | $69.77 | $520.20 | $612.00 | |
United
| Professional | $242.46 | $363.68 | $742.20 |