| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $602.56 | $2,137.96 | |
Cigna
| Facility | $831.76 | $831.76 | $831.76 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Facility | $1.07 | $758.58 | $891.25 | |
United
| Professional | $645.65 | $776.25 | $1,174.90 |