| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $479.41 | $479.41 | $517.52 | |
Cigna
| Facility | $732.96 | $732.96 | $732.96 | |
Cigna
| Professional | $535.05 | $535.05 | $535.05 | |
United
| Professional | $469.24 | $581.15 | $875.43 |