| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.56 | $724.44 | $933.25 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Cigna
| Professional | $912.01 | $912.01 | $912.01 | |
United
| Facility | $891.25 | $954.99 | $1,023.29 | |
United
| Professional | $851.14 | $891.25 | $891.25 |