| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.37 | $650.52 | $682.64 | |
Cigna
| Facility | $843.35 | $843.35 | $843.35 | |
Cigna
| Professional | $716.85 | $716.85 | $843.35 | |
United
| Professional | $659.32 | $824.97 | $1,099.96 |