| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $859.15 | $923.64 | $973.63 | |
Cigna
| Facility | $1,620.00 | $1,620.00 | $1,620.00 | |
Cigna
| Professional | $1,182.59 | $1,182.59 | $1,620.00 | |
United
| Professional | $940.37 | $1,115.90 | $1,735.80 |