| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $645.65 | $831.76 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $309.03 | $363.08 | $371.54 | |
United
| Facility | $81.28 | $616.60 | $977.24 | |
United
| Professional | $489.78 | $724.44 | $1,230.27 |