| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $426.58 | $426.58 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $109.65 | $128.82 | $128.82 | |
United
| Facility | $53.70 | $380.19 | $537.03 | |
United
| Professional | $257.04 | $426.58 | $707.95 |