| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $910.53 | $971.59 | $1,156.65 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $398.65 | $398.65 | $398.65 | |
United
| Professional | $493.73 | $756.77 | $905.99 |