| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $629.98 | $668.71 | $757.81 | |
Cigna
| Facility | $908.63 | $908.63 | $908.63 | |
Cigna
| Professional | $663.30 | $663.30 | $908.63 | |
United
| Professional | $731.92 | $849.28 | $1,221.08 |