| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $873.72 | $873.72 | $1,002.11 | |
Cigna
| Facility | $1,540.39 | $1,540.39 | $1,540.39 | |
Cigna
| Professional | $1,124.48 | $1,124.48 | $1,540.39 | |
United
| Professional | $803.14 | $1,059.14 | $1,595.45 |