| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.42 | $371.54 | $870.96 | |
Cigna
| Facility | $331.13 | $331.13 | $478.63 | |
Cigna
| Professional | $346.74 | $346.74 | $478.63 | |
United
| Facility | $281.84 | $346.74 | $776.25 | |
United
| Professional | $257.04 | $323.59 | $467.74 |