| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $616.60 | $1,096.48 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $114.82 | $134.90 | $138.04 | |
United
| Facility | $56.23 | $416.87 | $645.65 | |
United
| Professional | $323.59 | $478.63 | $812.83 |