| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $634.40 | $667.84 | $718.94 | |
Cigna
| Facility | $963.22 | $963.22 | $963.22 | |
Cigna
| Professional | $703.15 | $703.15 | $963.22 | |
United
| Professional | $694.37 | $827.47 | $1,158.45 |