| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $719.14 | $757.03 | $814.97 | |
Cigna
| Facility | $1,375.24 | $1,375.24 | $1,375.24 | |
Cigna
| Professional | $1,003.93 | $1,003.93 | $1,375.24 | |
United
| Professional | $787.12 | $934.05 | $1,334.02 |