| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $816.60 | $1,034.11 | $1,098.59 | |
Cigna
| Facility | $936.57 | $936.57 | $936.57 | |
Cigna
| Professional | $796.08 | $796.08 | $796.08 | |
United
| Professional | $78.19 | $126.05 | $293.17 |