| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $824.97 | $851.89 | $1,014.15 | |
Cigna
| Facility | $707.88 | $707.88 | $707.88 | |
Cigna
| Professional | $114.60 | $601.70 | $707.88 | |
United
| Professional | $432.89 | $663.47 | $794.43 |