| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.25 | $891.25 | $3,630.78 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $831.76 | $831.76 | $831.76 | |
United
| Facility | $1.45 | $1,202.26 | $1,348.96 | |
United
| Professional | $870.96 | $1,023.29 | $1,445.44 |