| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $983.90 | $983.90 | $983.90 | |
Cigna
| Facility | $231.15 | $231.15 | $231.15 | |
Cigna
| Professional | $778.00 | $778.00 | $778.00 | |
United
| Professional | $199.73 | $1,593.27 | $1,673.09 |