| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $549.54 | $812.83 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $169.82 | $169.82 | $199.53 | |
United
| Facility | $41.69 | $416.87 | $776.25 | |
United
| Professional | $436.52 | $616.60 | $870.96 |