| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $818.28 | $887.34 | $927.32 | |
Cigna
| Facility | $1,317.79 | $1,317.79 | $1,317.79 | |
Cigna
| Professional | $961.99 | $961.99 | $1,317.79 | |
United
| Professional | $895.63 | $1,062.81 | $1,609.83 |