| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $680.95 | $716.84 | $771.70 | |
Cigna
| Facility | $1,427.14 | $1,427.14 | $1,427.14 | |
Cigna
| Professional | $1,041.81 | $1,041.81 | $1,427.14 | |
United
| Professional | $745.33 | $884.46 | $1,263.20 |