| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $961.45 | $961.45 | $961.45 | |
Cigna
| Professional | $1,695.16 | $1,695.16 | $2,393.16 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 | |
United
| Professional | $1,695.16 | $4,487.99 | $5,038.34 |