| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,639.54 | $1,878.64 | $2,338.66 | |
Cigna
| Facility | $303.33 | $303.33 | $303.33 | |
Cigna
| Professional | $257.83 | $257.83 | $257.83 | |
United
| Professional | $174.03 | $293.38 | $1,923.74 |