| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $881.06 | $881.06 | $921.82 | |
Cigna
| Professional | $250.00 | $250.00 | $711.56 | |
United
| Facility | $834.19 | $834.19 | $834.19 | |
United
| Professional | $536.00 | $2,105.90 | $2,105.90 |