| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $828.84 | $828.84 | $1,049.69 | |
Cigna
| Facility | $1,544.16 | $1,544.16 | $1,544.16 | |
Cigna
| Professional | $1,127.24 | $1,127.24 | $1,544.16 | |
United
| Professional | $832.43 | $1,004.74 | $1,513.50 |