| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $831.66 | $831.66 | $882.66 | |
Cigna
| Facility | $1,172.51 | $1,172.51 | $1,172.51 | |
Cigna
| Professional | $855.93 | $855.93 | $1,172.51 | |
United
| Professional | $850.01 | $1,012.69 | $1,680.26 |