| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $550.87 | $631.82 | $655.80 | |
Cigna
| Facility | $2,355.54 | $2,355.54 | $2,355.54 | |
Cigna
| Professional | $77.09 | $2,002.21 | $2,355.54 | |
United
| Professional | $297.58 | $446.37 | $693.17 |