| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $686.30 | $705.74 | $777.75 | |
Cigna
| Facility | $926.75 | $926.75 | $926.75 | |
Cigna
| Professional | $787.74 | $787.74 | $787.74 | |
United
| Professional | $751.16 | $891.38 | $1,253.19 |