| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $630.96 | $1,023.29 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $588.84 | $691.83 | $691.83 | |
United
| Facility | $54.95 | $416.87 | $630.96 | |
United
| Professional | $316.23 | $467.74 | $794.33 |