| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $938.33 | $987.78 | $1,063.36 | |
Cigna
| Facility | $1,424.68 | $1,424.68 | $1,424.68 | |
Cigna
| Professional | $1,040.02 | $1,040.02 | $1,040.02 | |
United
| Professional | $1,027.03 | $1,218.75 | $1,713.44 |