| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $434.25 | $580.03 | $580.03 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $512.48 | $702.03 | |
United
| Professional | $399.17 | $526.41 | $792.96 |