| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $823.96 | $823.96 | $982.55 | |
Cigna
| Facility | $1,304.10 | $1,304.10 | $1,304.10 | |
Cigna
| Professional | $952.00 | $952.00 | $1,304.10 | |
United
| Professional | $827.52 | $998.83 | $1,504.59 |