| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $456.76 | $456.76 | $477.32 | |
Cigna
| Facility | $740.83 | $740.83 | $740.83 | |
Cigna
| Professional | $540.80 | $540.80 | $740.83 | |
United
| Professional | $430.55 | $553.69 | $795.24 |