| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $904.55 | $979.03 | $1,109.50 | |
Cigna
| Facility | $1,606.19 | $1,606.19 | $1,606.19 | |
Cigna
| Professional | $1,172.52 | $1,172.52 | $1,606.19 | |
United
| Professional | $1,071.58 | $1,271.61 | $1,787.77 |