| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $498.03 | $531.97 | $602.86 | |
Cigna
| Facility | $895.43 | $895.43 | $895.43 | |
Cigna
| Professional | $653.66 | $653.66 | $895.43 | |
United
| Professional | $582.25 | $647.75 | $971.39 |