| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $679.84 | $737.70 | $786.99 | |
Cigna
| Facility | $1,324.18 | $1,324.18 | $1,324.18 | |
Cigna
| Professional | $966.65 | $966.65 | $1,324.18 | |
United
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $549.41 | $827.81 | $1,241.41 |