| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $983.90 | $983.90 | $983.90 | |
Cigna
| Facility | $140.93 | $140.93 | $140.93 | |
Cigna
| Professional | $343.18 | $343.18 | $343.18 | |
United
| Professional | $541.13 | $1,456.63 | $1,673.09 |