| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $484.89 | $484.89 | $540.60 | |
Cigna
| Facility | $736.22 | $736.22 | $736.22 | |
Cigna
| Professional | $537.44 | $537.44 | $736.22 | |
United
| Professional | $486.99 | $587.79 | $899.49 |