| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.11 | $595.34 | $666.47 | |
Cigna
| Facility | $1,036.33 | $1,036.33 | $1,036.33 | |
Cigna
| Professional | $756.53 | $756.53 | $1,036.33 | |
United
| Professional | $643.70 | $716.11 | $1,073.90 |