| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.84 | $380.19 | $489.78 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $169.82 | $199.53 | $204.17 | |
United
| Facility | $45.71 | $398.11 | $575.44 | |
United
| Professional | $288.40 | $426.58 | $724.44 |