| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $836.45 | $907.04 | $947.91 | |
Cigna
| Facility | $1,162.68 | $1,162.68 | $1,162.68 | |
Cigna
| Professional | $988.28 | $988.28 | $1,162.68 | |
United
| Professional | $26.19 | $1,013.97 | $1,527.41 |