| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $766.85 | $766.85 | $848.43 | |
Cigna
| Facility | $1,108.41 | $1,108.41 | $1,108.41 | |
Cigna
| Professional | $809.14 | $809.14 | $1,108.41 | |
United
| Professional | $722.10 | $929.60 | $1,400.31 |