| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.68 | $562.34 | $2,570.40 | |
Cigna
| Facility | $707.95 | $707.95 | $707.95 | |
Cigna
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Facility | $0.89 | $676.08 | $851.14 | |
United
| Professional | $575.44 | $676.08 | $954.99 |