| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.90 | $638.39 | $706.30 | |
Cigna
| Facility | $969.19 | $969.19 | $969.19 | |
Cigna
| Professional | $707.51 | $707.51 | $707.51 | |
United
| Professional | $567.27 | $773.87 | $1,165.73 |