| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $499.30 | $499.31 | $499.31 | |
Cigna
| Facility | $680.86 | $680.86 | $680.86 | |
Cigna
| Professional | $497.03 | $497.03 | $680.86 | |
United
| Facility | $0.87 | $538.75 | $538.75 | |
United
| Professional | $450.37 | $605.27 | $911.77 |