| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $583.05 | $668.09 | $1,386.08 | |
Cigna
| Facility | $107.63 | $107.63 | $107.63 | |
Cigna
| Professional | $91.49 | $107.63 | $107.63 | |
United
| Professional | $63.21 | $115.23 | $621.95 |