| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $429.90 | $436.32 | $502.32 | |
Cigna
| Facility | $2,355.54 | $2,355.54 | $2,355.54 | |
Cigna
| Professional | $2,002.21 | $2,355.54 | $2,355.54 | |
United
| Professional | $332.04 | $458.41 | $764.35 |