| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $877.50 | $877.50 | $887.34 | |
Cigna
| Facility | $1,399.15 | $1,399.15 | $1,399.15 | |
Cigna
| Professional | $1,021.38 | $1,021.38 | $1,399.15 | |
United
| Professional | $877.19 | $1,063.72 | $1,772.87 |