| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $1,174.90 | $1,230.27 | |
Cigna
| Facility | $1,174.90 | $1,174.90 | $1,174.90 | |
Cigna
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Professional | $125.89 | $1,047.13 | $1,148.15 |