| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.20 | $660.20 | $735.09 | |
Cigna
| Facility | $1,025.33 | $1,025.33 | $1,025.33 | |
Cigna
| Professional | $748.49 | $748.49 | $1,025.33 | |
United
| Professional | $722.62 | $800.32 | $1,205.56 |