| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $773.39 | $792.83 | $826.29 | |
Cigna
| Facility | $999.36 | $999.36 | $999.36 | |
Cigna
| Professional | $849.46 | $849.46 | $999.36 | |
United
| Professional | $398.05 | $610.19 | $730.83 |