| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $789.44 | $799.80 | $906.38 | |
Cigna
| Facility | $1,473.53 | $1,473.53 | $1,473.53 | |
Cigna
| Professional | $1,075.68 | $1,075.68 | $1,473.53 | |
United
| Professional | $875.41 | $1,022.34 | $1,460.48 |