| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $396.89 | $396.89 | $583.13 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $395.93 | $402.62 | $551.53 | |
United
| Professional | $364.82 | $481.12 | $724.74 |