| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $972.12 | $1,030.90 | $1,177.00 | |
Cigna
| Facility | $936.57 | $936.57 | $936.57 | |
Cigna
| Professional | $796.08 | $796.08 | $936.57 | |
United
| Professional | $80.09 | $127.57 | $920.51 |