| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $575.44 | $977.24 | |
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
Cigna
| Professional | $389.05 | $389.05 | $457.09 | |
United
| Facility | $57.54 | $467.74 | $1,071.52 | |
United
| Professional | $467.74 | $660.69 | $1,122.02 |