| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $712.78 | $744.16 | $945.38 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $106.83 | $170.00 | $200.00 | |
United
| Professional | $403.39 | $618.59 | $911.53 |