| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $630.96 | $1,000.00 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $114.82 | $114.82 | $134.90 | |
United
| Facility | $38.02 | $380.19 | $724.44 | |
United
| Professional | $354.81 | $549.54 | $660.69 |