| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $752.69 | $752.69 | $872.52 | |
Cigna
| Facility | $1,186.93 | $1,186.93 | $1,186.93 | |
Cigna
| Professional | $866.46 | $866.46 | $1,186.93 | |
United
| Facility | $1,193.78 | $1,193.78 | $1,193.78 | |
United
| Professional | $740.42 | $912.43 | $1,374.45 |