| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.25 | $933.25 | $2,754.23 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Cigna
| Professional | $954.99 | $954.99 | $954.99 | |
United
| Facility | $1.66 | $1,023.29 | $1,174.90 | |
United
| Professional | $1,023.29 | $1,202.26 | $1,698.24 |