| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $576.53 | $576.53 | $766.41 | |
Cigna
| Facility | $837.35 | $837.35 | $837.35 | |
Cigna
| Professional | $611.27 | $611.27 | $837.35 | |
United
| Facility | $1.07 | $662.58 | $662.58 | |
United
| Professional | $553.88 | $698.88 | $1,052.75 |