| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $738.08 | $844.83 | $844.83 | |
Cigna
| Facility | $1,006.48 | $1,006.48 | $1,006.48 | |
Cigna
| Professional | $734.73 | $734.73 | $734.73 | |
United
| Facility | $820.00 | $820.00 | $820.00 | |
United
| Professional | $665.76 | $1,024.13 | $1,542.70 |