| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $638.26 | $638.26 | $673.45 | |
Cigna
| Facility | $897.58 | $897.58 | $897.58 | |
Cigna
| Professional | $655.23 | $655.23 | $655.23 | |
United
| Facility | $957.27 | $957.27 | $957.27 | |
United
| Professional | $593.73 | $773.71 | $1,289.51 |