| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $600.00 | $600.00 | $600.00 | |
Cigna
| Facility | $1,150.00 | $1,150.00 | $1,150.00 | |
Cigna
| Professional | $839.50 | $977.50 | $1,150.00 | |
United
| Professional | $350.58 | $466.20 | $466.20 |