| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $710.33 | $747.77 | $804.99 | |
Cigna
| Facility | $1,232.72 | $1,232.72 | $1,232.72 | |
Cigna
| Professional | $899.89 | $899.89 | $1,232.72 | |
United
| Professional | $777.49 | $922.62 | $1,297.10 |