| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $600.26 | $650.92 | $680.24 | |
Cigna
| Facility | $967.10 | $967.10 | $967.10 | |
Cigna
| Professional | $705.98 | $705.98 | $967.10 | |
United
| Professional | $657.00 | $822.08 | $1,096.09 |