| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
Cigna
| Facility | $398.11 | $398.11 | $660.69 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Facility | $275.42 | $309.03 | $831.76 |