| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $741.31 | $741.31 | $758.58 | |
Cigna
| Facility | $691.83 | $691.83 | $831.76 | |
Cigna
| Professional | $741.31 | $741.31 | $741.31 | |
United
| Professional | $125.89 | $1,737.80 | $1,905.46 |