| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $779.38 | $1,050.60 | $1,111.66 | |
Cigna
| Facility | $144.19 | $144.19 | $211.75 | |
Cigna
| Professional | $122.56 | $144.19 | $211.75 | |
United
| Professional | $533.59 | $876.11 | $1,501.27 |