| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $488.19 | $518.87 | $588.01 | |
Cigna
| Facility | $957.73 | $957.73 | $957.73 | |
Cigna
| Professional | $699.14 | $699.14 | $957.73 | |
United
| Facility | $595.23 | $595.23 | $595.23 | |
United
| Professional | $567.91 | $676.77 | $947.48 |