| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $677.38 | $677.38 | $776.92 | |
Cigna
| Facility | $941.33 | $941.33 | $941.33 | |
Cigna
| Professional | $687.17 | $687.17 | $941.33 | |
United
| Professional | $682.41 | $824.83 | $1,368.56 |