| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $745.59 | $784.88 | $844.94 | |
Cigna
| Facility | $1,349.13 | $1,349.13 | $1,349.13 | |
Cigna
| Professional | $984.86 | $984.86 | $984.86 | |
United
| Professional | $816.07 | $907.88 | $1,361.47 |