| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $489.78 | $707.95 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $218.78 | $218.78 | $257.04 | |
United
| Facility | $33.11 | $295.12 | $562.34 | |
United
| Professional | $309.03 | $537.03 | $676.08 |