| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.81 | $436.81 | $507.33 | |
Cigna
| Facility | $607.01 | $607.01 | $607.01 | |
Cigna
| Professional | $443.12 | $801.24 | $865.03 | |
United
| Professional | $375.56 | $529.51 | $797.64 |