| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.75 | $524.75 | $585.02 | |
Cigna
| Facility | $1,057.34 | $1,057.34 | $1,057.34 | |
Cigna
| Professional | $771.87 | $771.87 | $1,057.34 | |
United
| Professional | $527.02 | $636.11 | $2,332.42 |