| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $729.34 | $729.34 | $884.89 | |
Cigna
| Facility | $1,107.01 | $1,107.01 | $1,107.01 | |
Cigna
| Professional | $808.12 | $1,499.62 | $1,619.01 | |
United
| Professional | $732.26 | $884.12 | $1,331.80 |