| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $331.13 | $1,174.90 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $398.11 | $398.11 | $398.11 | |
United
| Facility | $0.62 | $501.19 | $562.34 | |
United
| Professional | $346.74 | $407.38 | $630.96 |