| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.99 | $408.99 | $481.03 | |
Cigna
| Facility | $620.97 | $620.97 | $620.97 | |
Cigna
| Professional | $453.31 | $453.31 | $620.97 | |
United
| Professional | $410.76 | $495.79 | $758.69 |