| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $522.08 | $522.08 | $522.97 | |
Cigna
| Facility | $713.15 | $713.15 | $713.15 | |
Cigna
| Professional | $520.60 | $520.60 | $713.15 | |
United
| Professional | $471.72 | $632.88 | $953.34 |