| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $459.99 | $460.97 | $460.97 | |
Cigna
| Facility | $627.26 | $627.26 | $627.26 | |
Cigna
| Professional | $457.90 | $457.90 | $457.90 | |
United
| Facility | $0.80 | $496.34 | $496.34 | |
United
| Professional | $414.92 | $558.79 | $931.33 |