| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.59 | $416.87 | $1,174.90 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Cigna
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Facility | $0.72 | $457.09 | $524.81 | |
United
| Professional | $524.81 | $660.69 | $870.96 |