| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $512.86 | $602.56 | $794.33 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $467.74 | $467.74 | $549.54 | |
United
| Facility | $43.65 | $457.09 | $851.14 | |
United
| Professional | $467.74 | $812.83 | $1,047.13 |