| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $829.37 | $829.37 | $951.22 | |
Cigna
| Facility | $1,335.63 | $1,335.63 | $1,335.63 | |
Cigna
| Professional | $975.01 | $975.01 | $1,335.63 | |
United
| Professional | $835.51 | $1,005.38 | $1,675.63 |