| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $843.38 | $882.94 | $1,004.03 | |
Cigna
| Facility | $881.10 | $881.10 | $881.10 | |
Cigna
| Professional | $121.82 | $748.94 | $881.10 | |
United
| Professional | $562.59 | $843.88 | $1,337.64 |