| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $772.83 | $838.60 | $955.54 | |
Cigna
| Facility | $1,316.65 | $1,316.65 | $1,316.65 | |
Cigna
| Professional | $961.15 | $961.15 | $1,316.65 | |
United
| Professional | $845.88 | $1,058.41 | $1,411.21 |