| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $521.45 | $521.45 | $590.92 | |
Cigna
| Facility | $724.63 | $724.63 | $724.63 | |
Cigna
| Professional | $528.98 | $528.98 | $724.63 | |
United
| Professional | $570.74 | $677.28 | $952.18 |