| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $630.96 | $1,000.00 | |
Cigna
| Facility | $426.58 | $426.58 | $426.58 | |
Cigna
| Professional | $363.08 | $363.08 | $426.58 | |
United
| Facility | $38.02 | $380.19 | $724.44 | |
United
| Professional | $346.74 | $549.54 | $660.69 |