| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.42 | $316.23 | $478.63 | |
Cigna
| Facility | $660.69 | $660.69 | $660.69 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $169.82 | $234.42 | $602.56 |