| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $512.86 | $870.96 | |
Cigna
| Facility | $512.86 | $512.86 | $512.86 | |
Cigna
| Professional | $436.52 | $436.52 | $512.86 | |
United
| Facility | $35.48 | $354.81 | $616.60 | |
United
| Professional | $346.74 | $436.52 | $645.65 |