| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $595.25 | $682.06 | $1,415.20 | |
Cigna
| Facility | $109.87 | $109.87 | $109.87 | |
Cigna
| Professional | $93.39 | $109.87 | $109.87 | |
United
| Professional | $77.56 | $118.23 | $698.39 |