| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $757.60 | $821.51 | $858.55 | |
Cigna
| Facility | $1,329.56 | $1,329.56 | $1,329.56 | |
Cigna
| Professional | $970.58 | $970.58 | $970.58 | |
United
| Professional | $829.21 | $1,037.55 | $1,383.40 |