| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $426.58 | $467.74 | $794.33 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $234.42 | $234.42 | |
United
| Facility | $29.51 | $295.12 | $549.54 | |
United
| Professional | $309.03 | $426.58 | $602.56 |