| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $768.82 | $809.33 | $871.26 | |
Cigna
| Facility | $1,167.30 | $1,167.30 | $1,167.30 | |
Cigna
| Professional | $852.13 | $852.13 | $1,167.30 | |
United
| Professional | $841.49 | $936.17 | $1,426.18 |