| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $762.06 | $791.93 | $889.67 | |
Cigna
| Facility | $360.90 | $360.90 | $360.90 | |
Cigna
| Professional | $37.36 | $306.77 | $360.90 | |
United
| Professional | $494.34 | $741.52 | $1,245.83 |