| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $996.85 | $1,096.75 | $1,186.73 | |
Cigna
| Facility | $504.00 | $504.00 | $504.00 | |
Cigna
| Professional | $154.43 | $428.40 | $504.00 | |
United
| Professional | $598.00 | $916.26 | $1,673.25 |