| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,120.00 | $1,120.00 | $1,190.00 | |
Cigna
| Facility | $659.12 | $659.12 | $659.12 | |
Cigna
| Professional | $659.12 | $659.12 | $659.12 | |
United
| Professional | $1,400.00 | $1,400.00 | $1,400.00 |