| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $549.54 | $549.54 | $776.25 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Professional | $125.89 | $2,137.96 | $2,691.53 |