| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $330.18 | $615.59 | $615.59 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $464.99 | $712.60 | |
United
| Professional | $504.44 | $526.41 | $773.47 |