| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $530.36 | $575.49 | $744.41 | |
Cigna
| Facility | $908.11 | $908.11 | $908.11 | |
Cigna
| Professional | $662.92 | $662.92 | $662.92 | |
United
| Professional | $428.61 | $691.76 | $1,071.52 |