| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $655.91 | $655.91 | $655.91 | |
Cigna
| Facility | $1,022.07 | $1,022.07 | $1,022.07 | |
Cigna
| Professional | $1,022.07 | $1,022.07 | $1,502.09 | |
United
| Professional | $859.42 | $1,168.14 | $1,360.04 |