| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $935.88 | $935.88 | $1,073.42 | |
Cigna
| Facility | $1,300.55 | $1,300.55 | $1,300.55 | |
Cigna
| Professional | $949.40 | $949.40 | $949.40 | |
United
| Professional | $860.28 | $1,134.50 | $1,708.96 |