| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,698.24 | $2,570.40 | |
Cigna
| Facility | $1,348.96 | $1,348.96 | $1,380.38 | |
Cigna
| Professional | $1,148.15 | $1,348.96 | $1,380.38 | |
United
| Facility | $154.88 | $1,174.90 | $1,778.28 | |
United
| Professional | $891.25 | $1,479.11 | $2,511.89 |