| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $354.81 | $549.54 | $1,258.93 | |
Cigna
| Facility | $776.25 | $776.25 | $776.25 | |
Cigna
| Professional | $562.34 | $562.34 | $562.34 | |
United
| Facility | $0.83 | $676.08 | $794.33 | |
United
| Professional | $524.81 | $691.83 | $1,000.00 |