| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $500.00 | $915.68 | $915.68 | |
Cigna
| Facility | $872.08 | $872.08 | $872.08 | |
Cigna
| Professional | $872.08 | $872.08 | $872.08 | |
United
| Professional | $741.27 | $872.08 | $1,918.58 |