| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $635.14 | $645.83 | $731.89 | |
Cigna
| Facility | $1,105.99 | $1,105.99 | $1,105.99 | |
Cigna
| Professional | $807.37 | $807.37 | $1,105.99 | |
United
| Professional | $706.88 | $838.83 | $1,304.81 |