| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $795.85 | $837.79 | $901.90 | |
Cigna
| Facility | $1,226.77 | $1,226.77 | $1,226.77 | |
Cigna
| Professional | $895.54 | $895.54 | $1,226.77 | |
United
| Professional | $871.09 | $1,033.69 | $1,476.33 |