| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $593.20 | $624.46 | $672.25 | |
Cigna
| Facility | $1,200.11 | $1,200.11 | $1,200.11 | |
Cigna
| Professional | $876.09 | $876.09 | $1,200.11 | |
United
| Professional | $649.28 | $770.48 | $1,100.41 |