| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $870.96 | $1,071.52 | $1,318.26 | |
Cigna
| Professional | $1,513.56 | $1,513.56 | $1,862.09 | |
United
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
United
| Professional | $549.54 | $549.54 | $1,318.26 |