| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $735.90 | $883.43 | $888.19 | |
Cigna
| Facility | $816.59 | $816.59 | $816.59 | |
Cigna
| Professional | $96.84 | $694.10 | $816.59 | |
United
| Professional | $508.11 | $617.89 | $1,197.51 |