| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,461.57 | $1,496.79 | $1,496.79 | |
Cigna
| Facility | $482.77 | $482.77 | $482.77 | |
Cigna
| Professional | $410.35 | $410.35 | $410.35 | |
United
| Professional | $392.38 | $421.03 | $653.97 |