| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,875.00 | $1,875.00 | $1,875.00 | |
Cigna
| Facility | $582.00 | $599.00 | $2,530.00 | |
Cigna
| Professional | $392.00 | $560.21 | $3,801.60 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |