| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $641.66 | $695.84 | $727.18 | |
Cigna
| Facility | $891.71 | $891.71 | $891.71 | |
Cigna
| Professional | $650.95 | $650.95 | $891.71 | |
United
| Professional | $702.33 | $878.79 | $1,296.42 |