| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $474.36 | $499.36 | $537.57 | |
Cigna
| Facility | $812.21 | $812.21 | $812.21 | |
Cigna
| Professional | $592.91 | $592.91 | $812.21 | |
United
| Professional | $519.20 | $616.12 | $958.38 |