| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $532.88 | $578.23 | $603.89 | |
Cigna
| Facility | $809.08 | $809.08 | $809.08 | |
Cigna
| Professional | $687.72 | $687.72 | $809.08 | |
United
| Professional | $583.25 | $692.13 | $988.50 |