| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $668.74 | $726.39 | $823.19 | |
Cigna
| Facility | $1,260.83 | $1,260.83 | $1,260.83 | |
Cigna
| Professional | $920.41 | $920.41 | $1,260.83 | |
United
| Professional | $880.55 | $880.55 | $1,193.78 |