| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $443.35 | $443.35 | $508.50 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $449.88 | $616.27 | |
United
| Professional | $430.91 | $537.44 | $855.80 |