| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $469.57 | $500.44 | $532.14 | |
Cigna
| Facility | $875.29 | $875.29 | $875.29 | |
Cigna
| Professional | $638.96 | $638.96 | $875.29 | |
United
| Professional | $513.96 | $571.79 | $857.46 |