| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $435.17 | $435.17 | $473.37 | |
Cigna
| Facility | $751.98 | $751.98 | $751.98 | |
Cigna
| Professional | $548.95 | $548.95 | $548.95 | |
United
| Facility | $0.77 | $479.78 | $479.78 | |
United
| Professional | $401.08 | $527.52 | $794.64 |