| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $643.60 | $697.09 | $789.98 | |
Cigna
| Facility | $1,232.20 | $1,232.20 | $1,232.20 | |
Cigna
| Professional | $899.51 | $899.51 | $1,232.20 | |
United
| Professional | $762.98 | $954.68 | $3,098.44 |