| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $594.50 | $645.09 | $708.14 | |
Cigna
| Facility | $902.63 | $902.63 | $902.63 | |
Cigna
| Professional | $658.92 | $658.92 | $902.63 | |
United
| Professional | $650.69 | $723.90 | $1,102.82 |