| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $497.52 | $497.52 | $576.34 | |
Cigna
| Facility | $755.39 | $755.39 | $755.39 | |
Cigna
| Professional | $551.42 | $551.42 | $755.39 | |
United
| Professional | $499.67 | $603.10 | $908.49 |