| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.48 | $489.26 | $489.26 | |
Cigna
| Facility | $555.29 | $555.29 | $555.29 | |
Cigna
| Professional | $508.43 | $508.43 | $508.43 | |
United
| Professional | $489.26 | $610.14 | $1,266.32 |