| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $831.76 | $1,023.29 | $4,570.88 | |
Cigna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
Cigna
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Facility | $1.66 | $1,380.38 | $1,548.82 | |
United
| Professional | $1,023.29 | $1,230.27 | $1,698.24 |