| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $549.54 | $575.44 | |
Cigna
| Facility | $524.81 | $524.81 | $630.96 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Professional | $125.89 | $2,290.87 | $2,691.53 |