| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $676.08 | |
Cigna
| Facility | $616.60 | $616.60 | $741.31 | |
Cigna
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Professional | $125.89 | $1,479.11 | $1,737.80 |