| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $960.00 | $1,020.00 | $1,020.00 | |
Cigna
| Facility | $1,020.00 | $1,020.00 | $1,020.00 | |
Cigna
| Professional | $1,020.00 | $1,020.00 | $1,020.00 | |
United
| Professional | $670.64 | $788.99 | $1,735.78 |