| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $437.70 | $773.16 | $818.64 | |
Cigna
| Facility | $2,355.54 | $2,355.54 | $2,355.54 | |
Cigna
| Professional | $73.42 | $2,355.54 | $2,355.54 | |
United
| Professional | $291.45 | $406.59 | $692.22 |