| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,047.13 | $1,047.13 | $1,096.48 | |
Cigna
| Facility | $645.65 | $1,000.00 | $1,202.26 | |
Cigna
| Professional | $1,047.13 | $1,047.13 | $1,047.13 | |
United
| Professional | $125.89 | $954.99 | $1,202.26 |