| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $708.04 | $708.04 | $893.01 | |
Cigna
| Facility | $1,212.63 | $1,212.63 | $1,212.63 | |
Cigna
| Professional | $885.22 | $885.22 | $1,212.63 | |
United
| Professional | $711.10 | $858.30 | $3,147.10 |