| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $413.18 | $437.17 | $468.24 | |
Cigna
| Facility | $765.11 | $765.11 | $765.11 | |
Cigna
| Professional | $558.53 | $558.53 | $765.11 | |
United
| Professional | $452.24 | $559.73 | $1,836.52 |