| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $501.19 | $741.31 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $275.42 | $288.40 | |
United
| Facility | $42.66 | $323.59 | $467.74 | |
United
| Professional | $275.42 | $407.38 | $707.95 |