| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $609.48 | $609.48 | $702.43 | |
Cigna
| Facility | $842.96 | $842.96 | $842.96 | |
Cigna
| Professional | $615.36 | $615.36 | $842.96 | |
United
| Professional | $557.60 | $738.83 | $1,112.94 |