| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.29 | $501.39 | $568.20 | |
Cigna
| Facility | $930.44 | $930.44 | $930.44 | |
Cigna
| Professional | $679.22 | $679.22 | $930.44 | |
United
| Professional | $548.78 | $607.79 | $915.56 |