| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $797.76 | $865.66 | $904.07 | |
Cigna
| Facility | $1,576.65 | $1,576.65 | $1,576.65 | |
Cigna
| Professional | $1,150.95 | $1,150.95 | $1,576.65 | |
United
| Professional | $873.17 | $971.42 | $1,456.75 |