| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $295.12 | $426.58 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $269.15 | $269.15 | $707.95 | |
United
| Facility | $28.84 | $33.11 | $1,071.52 | |
United
| Professional | $16.60 | $39.81 | $213.80 |