| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.32 | $690.90 | $743.78 | |
Cigna
| Facility | $1,020.64 | $1,020.64 | $1,020.64 | |
Cigna
| Professional | $745.07 | $745.07 | $1,020.64 | |
United
| Professional | $718.36 | $852.46 | $1,291.20 |