| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $457.09 | $467.74 | $1,659.59 | |
Cigna
| Facility | $741.31 | $741.31 | $741.31 | |
Cigna
| Professional | $537.03 | $537.03 | $537.03 | |
United
| Facility | $0.83 | $676.08 | $933.25 | |
United
| Professional | $501.19 | $588.84 | $933.25 |