| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $601.37 | $652.54 | $681.50 | |
Cigna
| Facility | $913.06 | $913.06 | $913.06 | |
Cigna
| Professional | $666.53 | $666.53 | $913.06 | |
United
| Professional | $658.21 | $781.08 | $1,115.54 |