| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $840.42 | $924.62 | $1,000.50 | |
Cigna
| Facility | $642.26 | $642.26 | $642.26 | |
Cigna
| Professional | $545.91 | $545.91 | $642.26 | |
United
| Professional | $504.16 | $756.24 | $1,006.70 |