| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $552.51 | $755.88 | $755.88 | |
Cigna
| Facility | $829.42 | $840.60 | $840.60 | |
Cigna
| Professional | $613.64 | $613.64 | $840.60 | |
United
| Professional | $520.20 | $669.77 | $1,008.92 |