| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $400.00 | $403.55 | $403.55 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $731.52 | $789.76 | |
United
| Professional | $336.64 | $489.19 | $873.88 |