| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.00 | $363.08 | $537.03 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Professional | $302.00 | $302.00 | $354.81 | |
United
| Facility | $27.54 | $245.47 | $436.52 | |
United
| Professional | $275.42 | $363.08 | $501.19 |