| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $494.09 | $536.74 | $765.66 | |
Cigna
| Facility | $612.00 | $612.00 | $612.00 | |
Cigna
| Professional | $520.20 | $612.00 | $612.00 | |
United
| Professional | $274.61 | $373.66 | $737.57 |