| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $501.19 | $501.19 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $114.82 | $134.90 | $134.90 | |
United
| Facility | $64.57 | $478.63 | $645.65 | |
United
| Professional | $309.03 | $501.19 | $831.76 |