| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $637.86 | $691.69 | $722.85 | |
Cigna
| Facility | $886.63 | $886.63 | $886.63 | |
Cigna
| Professional | $647.24 | $647.24 | $886.63 | |
United
| Professional | $698.15 | $828.47 | $1,164.74 |