| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $645.65 | $1,862.09 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Facility | $1.12 | $707.95 | $933.25 | |
United
| Professional | $691.83 | $831.76 | $1,174.90 |