| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $564.78 | $564.78 | $655.99 | |
Cigna
| Facility | $907.46 | $907.46 | $907.46 | |
Cigna
| Professional | $662.45 | $1,041.27 | $1,124.17 | |
United
| Professional | $519.16 | $684.64 | $1,031.30 |