| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $637.86 | $637.86 | $722.85 | |
Cigna
| Facility | $950.52 | $950.52 | $950.52 | |
Cigna
| Professional | $693.88 | $693.88 | $950.52 | |
United
| Professional | $698.15 | $828.47 | $1,288.70 |