| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $676.08 | |
Aetna
| Professional | $74.13 | $691.83 | $741.31 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Facility | $2,511.89 | $3,235.94 | $6,165.95 | |
United
| Professional | $660.69 | $851.14 | $1,174.90 |