| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.58 | $794.33 | $1,174.90 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $309.03 | $309.03 | $363.08 | |
United
| Facility | $57.54 | $602.56 | $1,122.02 | |
United
| Professional | $630.96 | $891.25 | $1,258.93 |