| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $741.31 | $1,122.02 | $1,698.24 | |
Cigna
| Professional | $1,230.27 | $1,230.27 | $1,230.27 | |
United
| Facility | $87.10 | $645.65 | $977.24 | |
United
| Professional | $501.19 | $741.31 | $1,230.27 |