| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $950.96 | $950.96 | $1,048.07 | |
Cigna
| Facility | $1,499.97 | $1,499.97 | $1,499.97 | |
Cigna
| Professional | $1,094.98 | $1,094.98 | $1,499.97 | |
United
| Professional | $945.38 | $1,152.77 | $1,736.49 |