| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $620.53 | $669.93 | $759.21 | |
Cigna
| Facility | $895.00 | $895.00 | $895.00 | |
Cigna
| Professional | $653.35 | $653.35 | $895.00 | |
United
| Professional | $733.26 | $815.75 | $1,223.32 |