| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.12 | $575.12 | $602.78 | |
Cigna
| Facility | $830.86 | $830.86 | $830.86 | |
Cigna
| Professional | $606.53 | $606.53 | $830.86 | |
United
| Facility | $876.64 | $876.64 | $876.64 | |
United
| Professional | $543.72 | $697.18 | $1,161.96 |